Individual
EMILY WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
1309 WINSLOW LN, MADISON, WI 53711-3737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178958-30
WI
363L00000X
Nurse Practitioner
Primary
13159-33
WI
Other
Enumeration date
08/29/2022
Last updated
09/22/2022
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