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Individual
MS. SUSAN ADELE WOLFE
Active
Individual
MS. SUSAN ADELE WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M400029155
MEDICARE
—
Enumeration date
11/01/2006
Last updated
02/12/2015
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