Individual
DR. PAUL W. WOLPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 N SIOUX POINT RD, STE 400, DAKOTA DUNES, SD 57049-5088
(605) 232-6353
(605) 232-6500
Mailing address
612 N SIOUX POINT RD, STE 400, DAKOTA DUNES, SD 57049-5088
(605) 232-6353
(605) 232-6500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3864
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003667
WELLMARK SOUTH DAKOTA
SD
05
—
0092460
—
IA
01
—
11456
NEBRASKA LICENSE NUMBER
NE
01
—
18017
IOWA LICENSE NUMBER
IA
01
—
3864
SOUTH DAKOTA LICENSE #
SD
05
—
7301600
—
SD
01
—
CN8257
GRP RR MEDICARE
SD
01
—
CP8566
GRP RR MEDICARE
IA
Enumeration date
05/31/2005
Last updated
12/18/2007
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