MEDICARE: DR. MICHAEL JOHN WOLFF DC

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	111N00000X	Chiropractor	5058	TX
2	171100000X	Acupuncturist	4624	TX

General Provider Information

NPI Number	:	1861596025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN WOLFF DC

Provider Business Mailing Address
First Line	:	4622 MITTLESTEDT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-2104
Country	:	US
Telephone Number	:	281-587-0334
Fax Number	:	281-587-0351

Provider Business Practice Location Address
First Line	:	4622 MITTLESTEDT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-2104
Country	:	US
Telephone Number	:	281-587-0334
Fax Number	:	281-587-0351

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	01/26/2015

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