Individual
IRVING LARRY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 GRAND AVE STE 102, DES MOINES, IA 50312-5300
(515) 255-7414
(515) 274-6913
Mailing address
1501 50TH ST STE 110, WEST DES MOINES, IA 50266-5920
(515) 255-7414
(515) 274-6913
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02257
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297846
—
IA
01
—
1063545390
BCBS
IA
Enumeration date
01/25/2006
Last updated
05/22/2024
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