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Individual
DR. PAUL LOUIS WOLF
Active
Individual
DR. PAUL LOUIS WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12010083A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12010083
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084422
BC BS PROVIDER PIN NUMBER
IN
05
—
200196800
—
IN
01
—
986521
UNITED CONCORDIA NUMBER
IN
01
—
P00111143
RAILROAD MEDICARE NUMBER
IN
Enumeration date
11/09/2005
Last updated
11/26/2019
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