Individual
DR. TODD A WOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 CAPITAL MALL DR SW STE 201, OLYMPIA, WA 98502-8702
(360) 596-4880
(360) 596-4881
Mailing address
3920 CAPITAL MALL DR SW STE 201, OLYMPIA, WA 98502-8702
(360) 596-4880
(360) 596-4881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00042360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212184
LABOR & INDUSTRY
WA
05
—
8365397
—
WA
01
—
9114WO
BLUE SHIELD
WA
Enumeration date
10/19/2005
Last updated
02/21/2018
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