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Individual

PETER M WOLSKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37404
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016248
KAISER-COMMERCIAL NUMBER
05
38884712
CO
Enumeration date
03/07/2007
Last updated
05/21/2021
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