Individual
SUZANNE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1051 WEST AVE, RICE LAKE, WI 54868-2299
(715) 719-0662
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(715) 717-4944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2719
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41274000
—
WI
Enumeration date
09/22/2006
Last updated
10/15/2018
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