Most Relevant Information
Provider Data
| NPI Number: | 1871596825 |
| Provider Name: | TIMOTHY JOHN WOLTER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 26902 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 09/28/2007 |
Provider Practice Location
716 W COLUMBIA ST
CHIPPEWA FALLS
WI
547292104
Practice Location Phone/Fax
| Phone: | 7157261963 |
| Fax: |
Provider Mailing Location
716 WEST COLUMBIA STREET
CHIPPEWA FALLS
WI
54729
Provider Mailing Phone/Fax
| Phone: | 7157261963 |
| Fax: |
Suggested EMR
Family Practice EMR