Individual
MARK A WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 S 8TH ST, PPC 206, MINNEAPOLIS, MN 55404-1208
(612) 347-5321
Mailing address
825 S 8TH ST, MINNEAPOLIS, MN 55404-1208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39895
MN
Other
Enumeration date
08/05/2006
Last updated
11/08/2022
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