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ROBERT ANTHONY WOLFE MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1205905452
Individual Registrant: ROBERT ANTHONY WOLFE MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655 Fax: 218-634-1094
Tel: 218-634-1655 Fax: 218-634-1094
Contact information for business:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655 Fax: 218-634-1094
Tel: 218-634-1655 Fax: 218-634-1094
Registration Information:
NPI: 1205905452
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | WI | 53272-20 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MN | 43830 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 807410100 | ID | 05 |
