Individual
KAREN WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
1707 ORCHARD SPRINGS RD, BLOOMINGTON, MN 55425-2553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
073431-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00951
MEDICA
MN
01
—
108555
UCARE
MN
01
—
54M74W
BCBS
MN
01
—
923911025976
PREFERRED ONE
MN
01
—
HP26527
HEALTH PARTNERS
MN
Enumeration date
03/29/2006
Last updated
07/08/2007
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