Paul Edward Wolf LPN

NPI 1083055255 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1083055255
Gender Male
Enumeration Date 07/16/2013
Last Updated 07/16/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
955 W BROADWAY AVE
MUSKEGON MI, 49441-3521, US
Phone (231) 755-0637
Fax (231) 755-6208
Business Location
955 W BROADWAY AVE
MUSKEGON MI, 49441-3521, US
Phone (231) 755-0637
Fax (231) 755-6208
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703079418
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According to our database, Mr. Paul Edward Wolf LPN NPI is 1083055255, taxonomy code is 164W00000X and license number is 4703079418, license state is located at Michigan. Paul Edward Wolf LPN physically located at 955 W Broadway Ave, Muskegon MI, 49441-3521. NPI Number Paul Edward Wolf LPN has the Individual type.

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1083055255 NPI number is provided on an as is basis without warranty of any kind. 1083055255 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Edward Wolf LPN are for informational purposes only.