Individual
MR. MICHAEL L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
111 CLIFF CAVE ROAD, SUITE 100, ST LOUIS, MO 63129
(314) 846-8232
(314) 293-9345
Mailing address
111 CLIFF CAVE ROAD, SUITE 100, ST LOUIS, MO 63129
(314) 846-8232
(314) 293-9345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02717
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537942807
—
MO
Enumeration date
06/09/2006
Last updated
07/16/2010
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