Individual
CHRISTOPHER WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
307263
NY
208600000X
Surgery Physician
D61658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405112200
—
MD
Enumeration date
06/23/2006
Last updated
07/13/2021
Update your record
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