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Individual

EVAN WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,PHD

Contact information

Practice address
4505 E GREENSTREET CIR, WASILLA, AK 99654-8425
(907) 376-2020
(907) 357-3937
Mailing address
4505 E GREENSTREET CIR, WASILLA, AK 99654-8425
(907) 376-2020
(907) 357-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4915
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD22351
AK
Enumeration date
02/21/2006
Last updated
12/04/2010
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