Individual
BRETT W WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702-3719
(217) 528-7541
(217) 522-3118
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036117547
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036117547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117547
—
IL
Enumeration date
06/03/2006
Last updated
05/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us