DR. Daniel A Wolf, O.D.

NPI #1225033970 in Centralia, Illinois

Provider Information

NPI Number: 1225033970
Entity Type: Individual
Name: DR. Daniel A Wolf, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 19, 2005
Last Updated: Nov 28, 2007

Practice Location

Address: 408 W 2ND ST
City: Centralia
State: Illinois
ZIP Code: 62801-3402
Phone: (618) 532-5531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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