Wolf, Norman Tracy

Wolf, Norman Tracy is an individual health care provider with primary practice located at 1955 County Road B2 W , Roseville MN 55113-2723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wolf, Norman Tracy can be contacted via phone (651) 635-0054.

Contact Information

Primary practice address
1955 County Road B2 W Roseville MN 55113-2723
Phone: (651) 635-0054
Fax: (651) 635-0949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28650 Minnesota

Profile Details

NPI number 1174597090
LBN Legal business name Wolf, Norman Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 28th, 2007 - about 18 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 1174597090 NPPES
Minnesota MEDICAID 514572400

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