Individual
MR. GABRIEL WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
205 CAMBRIDGESHIRE CT, JOHNSON CITY, TN 37615-4682
(513) 405-1989
Mailing address
205 CAMBRIDGESHIRE CT, JOHNSON CITY, TN 37615-4682
(513) 405-1989
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
342137
OH
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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