Individual
DR. WALTER WAYNE WOLF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1155 W PARKVIEW ST, SUITE 1F, BOLIVAR, MO 65613-8279
(417) 326-8700
(417) 777-8173
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001013753
MO
Other
Enumeration date
05/02/2006
Last updated
12/10/2015
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