Michael A. Wolf

NPI #1164690277 in Gray, Tennessee

Provider Information

NPI Number
1164690277
Entity Type
Organization
Organization Name
Michael A. Wolf
Primary Specialty
Eyewear Supplier
Enumeration Date
Feb 12, 2008
Last Updated
Feb 12, 2008

Practice Location

Address
122 OLD GRAY STATION RD
Address 2
SUITE 1
City
Gray
ZIP Code
37615-3434
Phone
(423) 477-2020

Authorized Official

Name
MICHAEL ANTHONY WOLF, O.D.
Title
OWNER
Phone
(423) 477-2020

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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