Individual
TIMOTHY C WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Mailing address
7101 JAHNKE RD, SUITE 500, RICHMOND, VA 23225-4017
(804) 320-2751
(804) 673-9218
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101031445
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101031445
MEDICAL LICENSE
VA
05
—
1700808029
—
VA
05
—
7475772
—
VA
Enumeration date
07/24/2006
Last updated
03/07/2023
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