# WOLF MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205440153
- **Authorized official:** DR. ROBERT JORDAN WOLF MD (OWNER)
- **Authorized official phone:** (443) 485-9116

## Contact information

- **Practice address:** 101 COLONIAL WAY STE B, RISING SUN, MD 21911-2272
- **Practice address phone:** (443) 485-9116
- **Practice address fax:** (877) 426-3121
- **Mailing address:** 120 RYAN DR, RISING SUN, MD 21911-1840
- **Mailing address phone:** (443) 485-9116
- **Mailing address fax:** (877) 426-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 02/25/2025