Individual
DR. BRIAN ROLAND WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 E WATER ST STE 1, WEST BEND, WI 53095-3414
(262) 355-8010
(262) 355-8011
Mailing address
140 E WATER ST STE 1, WEST BEND, WI 53095-3414
(262) 355-8010
(262) 355-8011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45883-020
WI
Other
Enumeration date
02/15/2006
Last updated
01/16/2020
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