Individual
DR. GREGORY R. WOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4407 S BUFFALO ST, ORCHARD PARK, NY 14127-2611
(716) 662-7267
(716) 662-2781
Mailing address
4415 S BUFFALO ST, ORCHARD PARK, NY 14127-2611
(716) 662-7267
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
X009972-1
NY
111NN1001X
Nutrition Chiropractor
X009972-1
NY
Other
Enumeration date
03/28/2007
Last updated
07/20/2017
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