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Individual

MR. RICHARD D WOLFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1050 ISAAC STREETS DR #133, OREGON, OH 43616-8213
(419) 693-0055
(419) 693-5025
Mailing address
1050 ISAAC STREETS DR #133, OREGON, OH 43616-8213
(419) 693-0055
(419) 693-5025

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003380
OH
213ES0131X
Foot Surgery Podiatrist
36.003380
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2560214
OH
05
2843801
OH
Enumeration date
10/17/2005
Last updated
01/14/2016
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