Organization Active NPI

Frank L Wolf MD PA

  • Plastic and Reconstructive Surgery Physician
  • Duluth, MN
National Provider Identifier
1457519571
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
FRANK L WOLF MD PA
Practice address
324 West Superior Street
Suite 1025
Duluth, MN 55802-1777
Phone
(218) 727-7407
Fax
(218) 727-4666
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Lynn Wolf, MD
Title
President Surgeon
Phone
(218) 727-7407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

324 West Superior Street
Suite 1025
Duluth, MN 55802-1777

Mailing address

324 West Superior Street
Suite 1025
Duluth, MN 55802-1777
Phone (218) 727-7407

Other identifiers 1

IdentifierTypeStateIssuer
15902W0OtherMNBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

324 W Superior St
Ste 1025
Duluth, MN 55802
Phone (218) 727-7407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1457519571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE 1025",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021777",
            "telephone_number": "218-727-7407",
            "fax_number": "218-727-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE 1025",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021777",
            "telephone_number": "218-727-7407",
            "fax_number": "218-727-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK L WOLF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT SURGEON",
        "authorized_official_telephone_number": "218-727-7407",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "15902W0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.