Individual
CARL WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2306 BRYCE LN, DAVIS, CA 95616-6606
(530) 758-4317
Mailing address
2306 BRYCE LANE, DAVIS, CA 95616
(530) 758-4317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G70079
CA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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