Individual
MR. GERALD LEON WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNAO
Contact information
Practice address
1302 N HIGHWAY 99 W, MCMINNVILLE, OR 97128-9999
(503) 472-5665
(503) 474-1585
Mailing address
1302 N HIGHWAY 99 W, MCMINNVILLE, OR 97128-9999
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
06/25/2008
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