Individual provider · Type 1 NPI
Kevin David Wolter, MD
General Practice Physician · Mystic, CT
NPI number
1427323401
Active
Practice location
43 Oxford Ct
Mystic, CT 06355-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 027924 (CT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1427323401
Kevin David Wolter, MD's National Provider Identifier is 1427323401, issued on Mar 9, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mystic, CT. The record was last updated on Mar 9, 2012.