Individual
MITCHELL D WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 REGENT ST, MADISON, WI 53715-1248
(608) 282-2000
(608) 282-2172
Mailing address
1025 REGENT ST, MADISON, WI 53715-1248
(608) 282-2000
(608) 282-2172
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32248-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144261801
—
WI
Enumeration date
06/10/2006
Last updated
12/22/2020
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