Healthcare Provider Details

I. General information

NPI: 1093196446
Provider Name (Legal Business Name): JOSEPH WOLSKI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 260
MINOCQUA WI
54548-0260
US

IV. Provider business mailing address

240 OAK ST. PO BOX 260
WOODRUFF WI
54548
US

V. Phone/Fax

Practice location:
  • Phone: 715-356-3474
  • Fax:
Mailing address:
  • Phone: 715-356-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6002004-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: