| Doctor Name: | MR. JONATHAN LOUIS WOLMAN |
| NPI Number: | 1164445607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | AP30006554 |
| Business Practice Address: | 7205 265th St Nw Stanwood, WA - 982926221 |
| Business Phone Number: | 3606291500 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5127, EVERETT |
| State: | WA |
| Postal Code: | 982065127 |
| Phone Number: | 4252583900 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30006554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |