Individual
RISA MICHELLE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N WOLFE ST BLDG RM3120, BALTIMORE, MD 21287-0011
(410) 955-6463
(410) 955-9773
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD441399
PA
2080P0205X
Pediatric Endocrinology Physician
Primary
D83736
MD
2080P0205X
Pediatric Endocrinology Physician
ME124446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015497400
—
FL
01
—
151NH
FL BLUE
FL
Enumeration date
08/04/2008
Last updated
10/03/2017
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