Individual
DR. TIMOTHY JOHN WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
716 W COLUMBIA ST, CHIPPEWA FALLS, WI 54729-2104
(715) 726-1963
Mailing address
716 WEST COLUMBIA STREET, CHIPPEWA FALLS, WI 54729
(715) 726-1963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26902
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30683800
—
WI
Enumeration date
05/23/2005
Last updated
09/28/2007
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