MEDICARE: OLIVER 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
1	207L00000X	Anesthesiology Physician	36117245	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36117245	OTHER	MO	MEDICAL LICENSE

General Provider Information

NPI Number	:	1548399553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVER WOLFE MD

Provider Business Mailing Address
First Line	:	PO BOX 822344
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-2344
Country	:	US
Telephone Number	:	314-991-0985
Fax Number	:	908-653-9305

Provider Business Practice Location Address
First Line	:	28 N 64TH ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-3808
Country	:	US
Telephone Number	:	908-653-9399
Fax Number	:	908-653-9305

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1972509339 — AMY BRUGGEMANN FNP
Practice Location Address:

40 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 618-397-8400
Practice Fax:

1356348221 — WILLOWCREEK REHAB AND NURSING CENTER
Practice Location Address:

40 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 618-397-8400
Practice Fax:

1275599086 — BELLEVILLE SURGICAL CENTER LTD
Practice Location Address:

28 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 618-398-5705
Practice Fax:

1972632040 — STEPHEN BELL MD
Practice Location Address:

28 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 908-653-9399
Practice Fax: 908-653-9305

1801925888 — ENRIQUE RODRIGUEZ MD
Practice Location Address:

28 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 908-653-9399
Practice Fax: 908-653-9305

1659401396 — MOHAMED IQBAL MD
Practice Location Address:

28 N 64TH ST
BELLEVILLE, IL
62223-3808

Practice Phone: 908-653-9399
Practice Fax: 908-653-9305

Directions to “ OLIVER WOLFE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.