Individual
MR. DANIEL R WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2600 EDGEWOOD RD SW, SUITE 376, CEDAR RAPIDS, IA 52404-7818
(319) 390-4144
(319) 390-4674
Mailing address
2501 WOODHILL DR SW, CEDAR RAPIDS, IA 52404-3371
(319) 329-9571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02334
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10220
BCBS
IA
Enumeration date
10/26/2006
Last updated
07/08/2007
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