Individual
MARK WILLIAM WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 999-1040
Mailing address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 999-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2282
MN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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