Individual
JAMES WILLIAM WOLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5890 W 13TH ST, SUITE 106, GREELEY, CO 80634-4816
(970) 378-1000
(970) 378-1899
Mailing address
5890 W 13TH ST, SUITE 106, GREELEY, CO 80634-4816
(970) 378-1000
(970) 378-1899
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01345487
—
CO
Enumeration date
01/10/2006
Last updated
12/13/2010
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