DR. Michael Anthony Wolf, O.D.

NPI #1376575050 in Gray, Tennessee

Provider Information

NPI Number: 1376575050
Entity Type: Individual
Name: DR. Michael Anthony Wolf, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 6, 2006
Last Updated: Jan 30, 2008

Practice Location

Address: 122 OLD GRAY STATION RD STE 1
City: Gray
State: Tennessee
ZIP Code: 37615-3434
Phone: (423) 477-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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