Individual
MICHAEL GLENN WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 WATERWAY RD, TEQUESTA, FL 33469-2764
(561) 422-7334
Mailing address
200 WATERWAY RD APT 104, TEQUESTA, FL 33469-2752
(561) 524-5871
(561) 746-2997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102201564
VA
207P00000X
Emergency Medicine Physician
OS007470L
PA
207P00000X
Emergency Medicine Physician
Primary
OS9197
FL
Other
Enumeration date
06/06/2006
Last updated
03/19/2024
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