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Individual

RISA MICHELLE WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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