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Individual

ANDREAS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 GREENLEY RD STE 911, SONORA, CA 95370-5287
(209) 536-3249
Mailing address
6 GOODWIN CT, REDWOOD CITY, CA 94061-2470
(609) 439-6385

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A51954
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3823193
AETNA HMO #
NJ
01
7193107
AETNA PPO #
NJ
01
P2797586
OXFORD ID #
NJ
Enumeration date
06/22/2005
Last updated
05/21/2025
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