Individual
DR. VAN M WOELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
87743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.92535
IL LICENSE
IL
05
—
64877434
—
KY
01
—
IL1391
PTAN
IL
Enumeration date
08/07/2006
Last updated
01/17/2019
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