Provider Demographics
NPI:1144969114
Name:DAVID WOLFF, MD, PLLC
Entity type:Organization
Organization Name:DAVID WOLFF, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE-MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:712-899-6167
Mailing Address - Street 1:19564 C16
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IA
Mailing Address - Zip Code:51001-8697
Mailing Address - Country:US
Mailing Address - Phone:712-899-6167
Mailing Address - Fax:
Practice Address - Street 1:19564 C16
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IA
Practice Address - Zip Code:51001-8697
Practice Address - Country:US
Practice Address - Phone:712-899-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-29
Last Update Date:2022-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty