MEDICARE: DAVID G. 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	207Q00000X	Family Medicine Physician	1695	SD
2	207Q00000X	Family Medicine Physician	26911	IA
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	26911	IA
4	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	26911	IA

General Provider Information

NPI Number	:	1679536015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID G. WOLFF M.D.

Provider Business Mailing Address
First Line	:	19564 C16
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-8697
Country	:	US
Telephone Number	:	712-266-3033
Fax Number	:	515-666-8960

Provider Business Practice Location Address
First Line	:	19564 C16
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-8697
Country	:	US
Telephone Number	:	712-266-3033
Fax Number	:	515-666-8960

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	03/06/2024

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Directions to “ DAVID G. WOLFF M.D.” Practice Location

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