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Individual

DAVID L WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608
(916) 537-5000
(916) 851-2884
Mailing address
5530 BIRDCAGE STREET, SUITE 145, CITRUS HEIGHTS, CA 95610
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A837800
CA
207L00000X
Anesthesiology Physician
Primary
G63319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G633190
CA
Enumeration date
12/13/2005
Last updated
12/17/2010
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