MEDICARE: DR. EMANUEL CLAUD WOLFF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	25742	AZ

General Provider Information

NPI Number	:	1043269848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMANUEL CLAUD WOLFF M.D.

Provider Business Mailing Address
First Line	:	9670 N PUSCH RIDGE PL
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-7642
Country	:	US
Telephone Number	:	520-575-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	9670 N PUSCH RIDGE PL
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-7642
Country	:	US
Telephone Number	:	520-575-2750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	07/08/2007

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