Individual
CARL WOLFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 EAST ST, STE 130, REDDING, CA 96001-1153
(530) 241-1455
(530) 241-7669
Mailing address
PO BOX 994032, REDDING, CA 96099-4032
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G20984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G209840
—
CA
Enumeration date
08/10/2005
Last updated
09/09/2014
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