Individual
TERRY L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
938 2ND AVE W, DICKINSON, ND 58601-3916
(701) 456-6000
(701) 667-5048
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8739
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11611
—
ND
Enumeration date
11/01/2006
Last updated
01/12/2011
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