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Individual

RITA WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 HUNDERTMARK RD STE 115N, CHASKA, MN 55318-1584
(952) 442-2191
Mailing address
111 HUNDERTMARK RD STE 115N, CHASKA, MN 55318-1584
(952) 442-2191

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44796
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
697606900
MN
Enumeration date
08/23/2005
Last updated
11/14/2022
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