Banda-Wolk, Martine

Banda-Wolk, Martine is an individual health care provider with primary practice located at 7601 Discovery Dr , Middleton WI 53562-5528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Banda-Wolk, Martine can be contacted via phone (608) 338-0400.

Contact Information

Primary practice address
7601 Discovery Dr Middleton WI 53562-5528
Phone: (608) 338-0400
Fax: (608) 824-8817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 302 Wisconsin

Profile Details

NPI number 1124029608
LBN Legal business name Banda-Wolk, Martine
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124029608 NPPES
Wisconsin MEDICAID 43810800
Wisconsin Other 0852480001
Wisconsin Other 500010481

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