Individual
TYLER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13795-33
WI
Other
Enumeration date
04/27/2023
Last updated
06/27/2023
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