Individual
DR. DOUGLAS DEAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
(304) 986-2996
(304) 986-2998
Mailing address
800 E MAIN ST, SUITE B, MANNINGTON, WV 26582-1215
(304) 986-2996
(304) 986-2998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1043
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000425042
BLUE CROSS
WV
05
—
0051821000
—
WV
01
—
P01447173
RAILROAD
WV
Enumeration date
03/24/2006
Last updated
07/28/2016
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