Individual
WILLIAM E. WOLF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 324-2229
(219) 324-2229
Mailing address
800 LINCOLNWAY, SUITE 301, LA PORTE, IN 46350-3439
(219) 324-2229
(219) 324-2229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01038860A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184434
ANTHEM
IN
01
—
050017896
RAILROAD
IN
05
—
100164970
—
IN
05
—
100164970B
—
IN
Enumeration date
10/16/2006
Last updated
06/22/2009
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