Individual
DANNY A WOLFGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 8TH AVE NW, SUITE A, ABERDEEN, SD 57401-1865
(605) 226-2663
(605) 226-0095
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 226-2663
(605) 226-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5650
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5601610
—
SD
Enumeration date
11/08/2005
Last updated
12/17/2013
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