Individual
MITCHELL R WOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082
(651) 439-1234
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
(651) 439-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1813487
MN
363LF0000X
Family Nurse Practitioner
224269-30
WI
Other
Enumeration date
02/07/2013
Last updated
02/20/2019
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