Active NPI
Michael Marc Wolz, MBCHB
- Dermatology Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 55516
- Practice address
- 400 East Third Street
Essentia Health Duluth Clinic
Duluth, MN 55805-1951 - Phone
- (218) 786-8364
- NPI assigned
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 55516 | MN | Primary |
Addresses
Primary practice location
400 East Third Street
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Mailing address
400 East Third Street
Essentia Health Duluth Clinic McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01229380 | Other | MN | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 86 |
| Removal of skin lesions | 585 |
| Removal of skin cancer | 455 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 353 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients | |
| Duluth Graduate Medical Education Council Inc | Past | Accepting new patients |
Locations
400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Family Medicine Physician
- Duluth, MN
- NPI 1972585867
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1760417935
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1689986291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST THIRD STREET",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST THIRD STREET",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLZ",
"first_name": "MICHAEL",
"middle_name": "MARC",
"credential": "MBCHB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "55516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01229380",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.