Individual
MICHAEL MARC WOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55516
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01229380
MEDICARE RAILROAD
MN
Enumeration date
07/12/2010
Last updated
07/21/2022
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