Individual
STEPHEN WILLIAM WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 E GRACE ST, RENSSELAER, IN 47978
(219) 866-5141
Mailing address
PO BOX 93, DAYTON, IN 47941-0093
(219) 866-5141
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
01067313A
IN
2084N0400X
Neurology Physician
Primary
01067313A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200999190
—
IN
01
—
P01325271
RAILROAD MEDICARE
IN
Enumeration date
09/25/2009
Last updated
03/26/2019
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