Individual
MR. MATTHEW H WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NREMT-B
Contact information
Practice address
640 MAIN ST, RANDALL, IA 50231-7708
(407) 506-4971
Mailing address
PO BOX 5, RANDALL, IA 50231-0005
(407) 506-4971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1891
FL
Other
Enumeration date
08/12/2006
Last updated
04/06/2009
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