Individual
CASEY WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2934
(414) 266-6189
Mailing address
6551 WENDELL CT, DEFOREST, WI 53532-2778
(608) 235-0594
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
725-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609232933
—
WI
Enumeration date
10/21/2020
Last updated
10/23/2020
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