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Individual

DR. MICHAEL WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD12528
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD12528
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD12528
PROFESSIONAL LICENSE
RI
Enumeration date
02/01/2007
Last updated
03/15/2013
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