Provider Demographics
NPI:1174693212
Name:WOLFGRAMM, VICTORIA L (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:L
Last Name:WOLFGRAMM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:280 FORT SANDERS WEST BLVD STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3352
Practice Address - Country:US
Practice Address - Phone:865-539-0270
Practice Address - Fax:833-908-2106
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-10-03
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Provider Licenses
StateLicense IDTaxonomies
HIMD-12414207Q00000X
TN66264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI536245 01Medicaid
HI54341401Medicaid
HI536245 01Medicaid