Individual
COLLEEN E WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2810 KENNEDY DR, BELOIT, WI 53511
(608) 361-5872
(608) 365-5980
Mailing address
4674 SNOW MESA DR, SUITE 200, FORT COLLINS, CO 80528-8615
(970) 495-8450
(970) 297-6599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3432
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55183778
—
CO
01
—
P01084733
MEDICARE RAILROAD
CO
Enumeration date
03/02/2006
Last updated
01/15/2025
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