Individual
DR. TROY DEAN WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5844
Mailing address
3122 120TH CT NE, BLAINE, MN 55449-2500
(734) 945-2059
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52909
MN
Other
Enumeration date
04/17/2007
Last updated
07/20/2011
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