DR. Kevin David Wolter, MD

NPI #1427323401 in Mystic, Connecticut

Provider Information

NPI Number: 1427323401
Entity Type: Individual
Name: DR. Kevin David Wolter, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Mar 9, 2012
Last Updated: Mar 9, 2012

Practice Location

Address: 43 OXFORD CT
City: Mystic
State: Connecticut
ZIP Code: 06355-1705
Phone: (860) 536-2718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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