Individual
ROBERT W WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1636
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-085502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221402
UNISON
OH
01
—
000000503565
ANTHEM
OH
05
—
1043230709
—
MI
05
—
2536456
—
OH
01
—
364145
WELLCARE MEDICAID
OH
01
—
4336521
AETNA
OH
01
—
742365
BUCKEYE MEDICAID
OH
01
—
P00213317
RAILROAD MEDICARE
OH
01
—
P00374615
MEDICARE RAILROAD
OH
Enumeration date
07/19/2006
Last updated
11/11/2010
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