Individual
SAMANTHA LYNN WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MCW-DIVISION OF COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, MCW-DIVISION OF COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3562-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043692239
—
WI
Enumeration date
06/24/2015
Last updated
02/26/2018
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