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General NPI Number Information
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NPI Number | 1417073503
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL WOLFE DO
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1900 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4542
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Country | US
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Telephone | 850-769-7546
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Fax | 850-785-2123
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Provider Business Mailing Address
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Address Line | 1900 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4542
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Country | US
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Telephone | 850-769-7546
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Fax | 850-785-2123
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS15357
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DO.2669
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | DO.2669
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | OS15357
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License Number State | FL
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