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Contact Information

DINU MISTRY WOLF, MD
341 E BANNOCK ST
BOISE, ID83712-6208
 Phone: 208-342-8180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DINU MISTRY WOLF · (Female)

NPI # 1811943285
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 08/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M8327
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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