Individual
MR. JACK C WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 E MAIN ST, STE. 100, EL CAJON, CA 92021-5211
(619) 442-9896
(619) 442-2245
Mailing address
1625 E MAIN ST, STE. 100, EL CAJON, CA 92021-5211
(619) 442-9896
(619) 442-2245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G299720
—
CA
Enumeration date
09/20/2006
Last updated
05/28/2015
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