Individual
MR. MICHAEL ALAN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13179 GARRETT HWY, SUITE C, OAKLAND, MD 21550
(301) 334-8200
(301) 334-8200
Mailing address
13179 GARRETT HWY, SUITE C, OAKLAND, MD 21550
(301) 334-8200
(301) 334-8200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DA804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42289401
BCBS OF MD
—
01
—
918922
BLOCK VISION
—
Enumeration date
09/11/2006
Last updated
07/08/2007
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