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Individual

SHANE K. WOOLF

Active
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Individual

SHANE K. WOOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2005-0142
NM
207X00000X
Orthopaedic Surgery Physician
21387
SC
207X00000X
Orthopaedic Surgery Physician
Primary
319067
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
21387
SC

Other

Enumeration date
06/22/2005
Last updated
10/07/2022
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