Individual
CATHERINE N WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02004729A
IN
207R00000X
Internal Medicine Physician
3357
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169380094
MEDICARE PTAN
IN
05
—
201332450
—
IN
Enumeration date
05/30/2006
Last updated
04/06/2021
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