Individual
MARY M WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
444 HIGHLAND DR, KOHLER, WI 53044-1515
(920) 496-4700
Mailing address
444 HIGHLAND DR, KOHLER, WI 53044-1515
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
364
WI
Other
Enumeration date
11/18/2005
Last updated
04/22/2013
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