Individual
GARRETT WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DO167698
OR
207L00000X
Anesthesiology Physician
Primary
OP60394009
WA
390200000X
Student in an Organized Health Care Education/Training Program
BP10034213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083938336
—
WA
01
—
P01522145
RR MEDICARE
WA
Enumeration date
03/16/2010
Last updated
09/14/2022
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