Mark Wolverton, MD

NPI #1174500888 in Fairmont, Minnesota

Provider Information

NPI Number: 1174500888
Entity Type: Individual
Name: Mark Wolverton, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 23, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 800 MEDICAL CENTER DR
City: Fairmont
State: Minnesota
ZIP Code: 56031-4575
Phone: (507) 238-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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