Individual
ANTHONY MICHAEL WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
84 SANTA ROSA ST, SUITE A, SAN LUIS OBISPO, CA 93405-1812
(805) 548-8585
(805) 548-8589
Mailing address
84 SANTA ROSA ST, SUITE A, SAN LUIS OBISPO, CA 93405-1812
(805) 548-8585
(805) 548-8589
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A19347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A193470
BLUE SHIELD PIN NUMBER
CA
05
—
1477637783
—
CA
Enumeration date
10/24/2006
Last updated
11/10/2014
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