Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 39229 | CO |
Y | 208600000X | Surgeon | 39229 | CO |
N | 2086S0122X | Plastic and Reconstructive Surgery | 39229 | CO |
NPI | 1275551020 |
---|---|
Provider Name | Dr. Andrew J Wolfe |
First Address | Golden, CO 80401-3169 |
Second Address | Golden, CO 80401-3673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 27/08/2015 |