Individual
PAUL SERGEI WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1189 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3167
(559) 434-5639
Mailing address
1189 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3167
(559) 434-5639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A91087
CA
2084N0400X
Neurology Physician
Primary
A91087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 073534 L
MEDICAL LICENSE
PA
Enumeration date
08/16/2006
Last updated
08/14/2007
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