Most Relevant Information
Provider Data
| NPI Number: | 1003403247 |
| Provider Name: | CHAD WOLFE MAED, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 002646 |
Most Important Dates
| Enumeration Date: | 12/22/2020 |
| Last Updated: | 12/22/2020 |
Provider Practice Location
2401 ONTARIO ST
CLEVELAND
OH
441154003
Practice Location Phone/Fax
| Phone: | 2164204606 |
| Fax: |
Provider Mailing Location
2401 ONTARIO ST
CLEVELAND
OH
441154003
Provider Mailing Phone/Fax
| Phone: | 2164204606 |
| Fax: |