# THOMAS A WOLF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659305506
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23824 | NE | Yes |
| 208M00000X | Hospitalist Physician | 0430314 | KS | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 07/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025238700 | — | NE |
| 01 | — | 31173 | BCBS | NE |
| 01 | — | P00357706 | RR MEDICARE | — |