Individual
MR. JOHN JASON WOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 ARMORY DR, WHEELING, WV 26003-6370
(304) 243-3160
(304) 243-5095
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22703
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011004
—
WV
Enumeration date
03/28/2007
Last updated
04/05/2024
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