Individual
COREY A WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25360
NE
207X00000X
Orthopaedic Surgery Physician
38587
IA
207X00000X
Orthopaedic Surgery Physician
46907
MN
207X00000X
Orthopaedic Surgery Physician
7582
SD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
46907
MN
Other
Enumeration date
01/31/2006
Last updated
08/16/2024
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