Individual
MATTHEW JOHN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 S HEATON ST, MORRISON, IL 61270
(815) 625-4790
Mailing address
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
(563) 421-4400
(563) 421-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036140324
IL
Other
Enumeration date
06/25/2013
Last updated
04/11/2019
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