Dr. Larry L Wolf, OD
Optometrist in Merrill, WI. Individual provider (NPI-1).
NPI number1790750503
StatusActive
Last updated in NPPESApr 28, 2009
Details
- NPI
- 1790750503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry L Wolf
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2006
- Last updated
- Apr 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1518 | WI | Yes |
Practice location
1007 E 1st StMerrill, WI 54452-2511
Phone 715-536-3250
Mailing address
1007 E 1st StMerrill, WI 54452-2511
Phone 715-536-3250
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