Individual
MATTHEW F WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
Mailing address
87475 COUNTY HIGHWAY C, CORNUCOPIA, WI 54827-4731
(715) 685-5400
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
173812-030
WI
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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