Individual
JOHN MICHAEL WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2351 CONNECTICUT AVE S, SUITE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Mailing address
2351 CONNECTICUT AVE S, SUITE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9418
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683030700
—
MN
01
—
970005573
RAILROAD MEDICARE
MN
Enumeration date
06/15/2006
Last updated
03/27/2023
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