WOLFE MOBILE MEDICAL LLC NPI 1265611586

NPI Information

  • NPI: 1265611586
  • Provider Name: WOLFE MOBILE MEDICAL LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 510 GREY FOX RUN
    WATERTOWN, WI
    ZIP 53094
  • Phone: (920) 253-5851

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NPI Details

WOLFE MOBILE MEDICAL LLC is a primary care clinic center in Watertown, WI. WOLFE MOBILE MEDICAL LLC NPI is 1265611586. The provider is registered as an organization entity type.

The provider's business location address is:

510 GREY FOX RUN
WATERTOWN, WI
ZIP 53094-901
Phone: (920) 253-5851

The provider's authorized official is Thomas Andrew Wolfe .
The authorized official title is Member and has the following contact phone number (920) 253-5851.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/2/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care29319-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003998394OTHERNPI ENUMERATOR
2B57705MEDICARE UPINWISCONSIN
329319OTHERWISCONSINWI, DEPT REGULATION & LIS
431425500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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