Michael Barry Wolf, DDS Valid NPI
Individual provider · Dentist · New Brighton, MN
- NPI
- 1255706347
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D10364 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-12-01
- Last updated
- 2018-09-26
Practice location
2611 Innsbruck Dr, Suite A
New Brighton, MN 55112-6376
(769) 571-4837