Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 634-025 | WI |
NPI | 1013997220 |
---|---|
Provider Name | Dr. Steven Lee Wolfington |
First Address | Sheboygan, WI 53081-2734 |
Second Address | Sheboygan, WI 53081-2734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 02/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43265900 | (05) | WI |
T91952 | (02) | WI |