Individual
BRADLEY A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6029 WALNUT GROVE RD, SUITE 401, MEMPHIS, TN 38120-2112
(901) 226-0456
(901) 226-0458
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
15329
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
26581
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E-5843
AR
Other
Enumeration date
06/15/2006
Last updated
02/04/2019
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