Individual
MICHAEL D. WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD046512L
PA
2081P0004X
Spinal Cord Injury Medicine Physician
MD046512L
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD046512L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001280689-0002
—
PA
01
—
076698
BLUE CARE
PA
01
—
20038440
AMERIHEALTH
PA
01
—
22712-1067
GEISINGER
PA
01
—
50075029
CAPITAL BLUE CROSS
PA
01
—
534346
AETNA
PA
01
—
719294
BLUE CARE
PA
01
—
P00123593
RAILROAD MEDICARE
PA
Enumeration date
08/30/2005
Last updated
03/24/2015
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