Individual
DR. JACOB JOHN WOLFRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4915 E BASELINE RD, GILBERT, AZ 85234-2965
(480) 812-3668
Mailing address
4915 E BASELINE RD, GILBERT, AZ 85234-2965
(480) 812-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149399
—
AZ
Enumeration date
05/18/2018
Last updated
07/28/2025
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