Individual
WILLIAM B WOLF III
Active
Individual
WILLIAM B WOLF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D30363
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
0101041005
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101041005
VA
Other
Enumeration date
04/05/2010
Last updated
09/17/2020
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