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Individual

PETER WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
875 WESLEY ST STE 230, ARLINGTON, WA 98223-1668
(360) 435-6097
(360) 435-1871
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00025578
WA
2086S0129X
Vascular Surgery Physician
Primary
MD00022578
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010588
WA
01
399073
LABOR & INDUSTRIES
WA
Enumeration date
07/11/2005
Last updated
01/17/2022
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