Mitchell A Wolf in Shawnee - Family Medicine

Mitchell A Wolf - NPI 1174608319

Mitchell A Wolf is a Family Medicine in Shawnee, Oklahoma. Mitchell A Wolf practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mitchell A Wolf is 1174608319. The last update date is 2016-11-11.

Mitchell A Wolf's current location address is 3214 Kethley Rd, Shawnee, Oklahoma. You can contact this provider via phone number 4052735801 and fax number 4058783794. The mailing address for Mitchell A Wolf is 3214 Kethley Rd, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell A Wolf
Address 3214 Kethley Rd, Shawnee, Oklahoma
Phone Number 4052735801
Fax Number 4058783794
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1174608319
Provider Enumeration Date 2006-10-26
Last Updated Date 2016-11-11

Provider Mailing Address Detail

Address 3214 Kethley Rd
City Shawnee
State Oklahoma (OK)
Post Code 748049625
Phone Number 4052735801
Fax Number 4058783794

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 10580
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00366183 NV RAILROAD MEDICARE
100506264 NV --

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FAQs about Mitchell A Wolf

What is the unique provider identifier assigned to Mitchell A Wolf?

The Mitchell A Wolf has been issued the NPI (National Provider Identifier) 1174608319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mitchell A Wolf?

The Mitchell A Wolf is situated at 3214 Kethley Rd, in the city of Shawnee, state of OK, with the zip code 748049625.

What is Mitchell A Wolf's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mitchell A Wolf is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174608319 to Mitchell A Wolf?

The Mitchell A Wolf received its 1174608319 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date was the information pertaining to Mitchell A Wolf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mitchell A Wolf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-11.

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