Individual
MARK ALAN WOLGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
(315) 449-9923
Mailing address
PO BOX 580, SYRACUSE, NY 13214-0580
(315) 251-3140
(315) 552-6046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
057862
GA
207X00000X
Orthopaedic Surgery Physician
Primary
341339
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
057862
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
057862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525815749A
—
GA
Enumeration date
12/02/2005
Last updated
01/15/2026
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