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NPI Code Detail

MEDICARE: JOHN WESTON WOLFE MD

MEDICARE: JOHN WESTON WOLFE MD
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
1207L00000XAnesthesiology Physician01062027AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083882948
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN WESTON WOLFE MD
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-6069
Country : US
Telephone Number : 317-567-2180
Fax Number : 317-713-1261
Provider Business Practice Location Address
First Line : 1120 SOUTH DR
Second Line : FESLER HALL RM 204
City : INDIANAPOLIS
State : IN
Zip : 46202-5115
Country : US
Telephone Number : 317-274-0275
Fax Number : 317-713-1261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2008
Last Update Date : 09/14/2009

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