Individual
DR. ERNEST WOLLIN
Active
Individual
DR. ERNEST WOLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0008870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261042600
—
FL
01
—
300129387
RAILROAD MEDICARE
FL
01
—
35074
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2006
Last updated
08/08/2012
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