Individual
MR. CONNOR MICHAEL-LEHMAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429-1267
(937) 298-4331
Mailing address
600 HADLEY AVE APT 2, KETTERING, OH 45419-2701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.006616RX
OH
Other
Enumeration date
08/03/2020
Last updated
11/13/2020
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