Individual
JASON MARK WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD, SUITE 415, MAYFIELD HTS, OH 44124-2299
(440) 461-2550
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 461-2550
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35078218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2412384
—
OH
Enumeration date
09/06/2006
Last updated
06/27/2014
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