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NPI Code Detail

MEDICARE: DR. WILLIAM WOLFE M.D.

MEDICARE:  DR. WILLIAM  WOLFE  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
12084P0800XPsychiatry PhysicianA83074CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141705OTHERCAPROVIDER NUMBER

General Provider Information

NPI Number : 1679647515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM WOLFE M.D.
Provider Business Mailing Address
First Line : 3059 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-4009
Country : US
Telephone Number : 415-692-5755
Fax Number : 415-869-5328
Provider Business Practice Location Address
First Line : 3059 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-4009
Country : US
Telephone Number : 415-692-5755
Fax Number : 415-869-5328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM WOLFE M.D.” Practice Location

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