Individual
MARY ANN WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
7950 N PORT WASHINGTON RD, FOX POINT, WI 53217-3131
(414) 253-1194
Mailing address
1832 E BENNETT AVE, MILWAUKEE, WI 53207-2961
(224) 213-2222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13429-33
WI
Other
Enumeration date
01/23/2023
Last updated
01/25/2023
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