Individual
CHRISTOPHER M WOLFRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Mailing address
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46507
MN
207R00000X
Internal Medicine Physician
50397-20
WI
207RC0000X
Cardiovascular Disease Physician
46507
MN
207RC0000X
Cardiovascular Disease Physician
Primary
50397-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105189696
—
MI
05
—
34786900
—
WI
Enumeration date
04/03/2006
Last updated
12/14/2010
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