Individual
SAMUEL A WOLFE
Active
Individual
SAMUEL A WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-03184
KS
363AM0700X
Medical Physician Assistant
14660
WI
363AS0400X
Surgical Physician Assistant
Primary
15-03184
KS
Other
Enumeration date
05/30/2023
Last updated
03/26/2026
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