Wulf, Dale G

Wulf, Dale G is an individual health care provider with primary practice located at 915 13Th Ave N , Clinton IA 52732-5067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wulf, Dale G can be contacted via phone (563) 243-2511.

Contact Information

Primary practice address
915 13Th Ave N Clinton IA 52732-5067
Phone: (563) 243-2511
Fax: (563) 243-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18136 Iowa

Profile Details

NPI number 1659323756
LBN Legal business name Wulf, Dale G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 15th, 2013 - about 12 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 1659323756 NPPES
Illinois MEDICAID 0180369123
Illinois Other 27174
Illinois Other 018394
Illinois Other 20979
Illinois MEDICAID 0085191
Illinois Other IA0113
Illinois Other 20823

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