Doctor Name: | GINA MARIE WOLF-FALCON |
NPI Number: | 1710309257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | |
Business Practice Address: | 401 Dewey St Foley, MN - 563298406 |
Business Phone Number: | 3209687413 |
Business Fax Number: | |
Mailing Address: | 1251 10th Ave Ne, Apt #122 SAUK RAPIDS |
State: | MN |
Postal Code: | 563794646 |
Phone Number: | 3202606672 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2014 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |