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Individual

JOSEPH W. WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3825 COUNTRY MILL RD, JAY, FL 32565-2235
(850) 637-5999
Mailing address
3825 COUNTRY MILL RD, JAY, FL 32565-2235
(850) 637-5999

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-071770
AL
367500000X
Certified Registered Nurse Anesthetist
206034
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9195787
FL
367500000X
Certified Registered Nurse Anesthetist
RN133186CRNA
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59074075
BLUE CROSS & BLUE SHIELD
AL
01
G3208
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
08/15/2005
Last updated
07/08/2007
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