Individual
DR. SANFORD MAYER WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 ELIZABETH PL, STE 230, DAYTON, OH 45417-3445
(937) 223-4900
(937) 223-4420
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(991) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OH34002602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012368
ANTHEM BCBS
OH
01
—
010015697
RAILROAD MEDICARE
GA
05
—
0634700
—
OH
01
—
1123456789000
MEDICAL MUTUAL
—
01
—
3220007
UNITED HEALTHCARE
OH
Enumeration date
03/20/2006
Last updated
01/08/2019
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