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Individual

ROBERT W WOLLENWEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. CCA

Contact information

Practice address
196 E 2000 N, STE 100A, TOOELE, UT 84074-9335
(435) 882-6448
Mailing address
4000 S 700 E, STE 10, SALT LAKE CITY, UT 84107-2180
(801) 268-4141

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
110181-4101
UT

Other

Enumeration date
10/24/2008
Last updated
10/24/2008
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