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Individual

DR. TERRY L WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2700 12TH AVE SW, SUITE D, FARGO, ND 58103
(701) 235-4503
(701) 235-4503
Mailing address
PO BOX 9072, FARGO, ND 58106
(701) 235-4503
(701) 235-4503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2076
AZ
207Q00000X
Family Medicine Physician
25160
MN
207Q00000X
Family Medicine Physician
4256
ND
2083X0100X
Occupational Medicine Physician
2076
AZ
2083X0100X
Occupational Medicine Physician
25160
MN
2083X0100X
Occupational Medicine Physician
Primary
4256
ND

Other

Enumeration date
09/19/2007
Last updated
09/19/2007
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