Individual
MICHAEL L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9915 S 2240 E, SANDY, UT 84092
(801) 860-8392
Mailing address
9915 S 2240 E, SANDY, UT 84092-4128
(801) 860-8392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9641469-3102
UT
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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