Individual
DR. JOHN MICHAEL WOLFGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3131 FIVE MILE RD, ALLEGANY, NY 14706-9627
(716) 375-6600
Mailing address
3375 N 7TH ST, ALLEGANY, NY 14706-9654
(716) 372-4512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019412-1
NY
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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