Individual
DINU MISTRY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-8180
Mailing address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-8180
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M8327
ID
Other
Enumeration date
05/26/2006
Last updated
08/27/2019
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