Wolfram, Christopher M
Wolfram, Christopher M is an individual health care provider with primary practice located at 744 S Webster Ave Fl 2 , Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wolfram, Christopher M can be contacted via phone (920) 433-3640.Contact Information
Primary practice address
744 S Webster Ave Fl 2
Green Bay WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46507 | Minnesota |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 46507 | Minnesota |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 50397-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50397-20 | Wisconsin |
Profile Details
NPI number | 1740242155 |
---|---|
LBN Legal business name | Wolfram, Christopher M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Dec 14th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740242155 | NPPES |
Michigan | MEDICAID | 105189696 | |
Michigan | MEDICAID | 34786900 |
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