Individual
MICHELLE LYNN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2668 ASHLEY CT, TREMONT, IL 61568-9772
(309) 712-6056
Mailing address
2668 ASHLEY CT, TREMONT, IL 61568-9772
(309) 712-6056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2271999
IL
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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