Individual
DEVON WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 LAKE AVE, FORT WAYNE, IN 46805-5416
(260) 702-8015
Mailing address
2930 LAKE AVE, FORT WAYNE, IN 46805-5416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003602A
IN
Other
Enumeration date
08/26/2020
Last updated
11/20/2023
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