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Individual

SCOTT PHILIP WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 266-1000
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073667A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000865140
ANTHEM
IN
05
0107893
OH
05
201220750
IN
01
P01340898
RR MEDICARE
Enumeration date
05/19/2011
Last updated
08/28/2018
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