Provider Demographics
NPI:1124004643
Name:WOLZ, JOHN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:WOLZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:820 S MONACO PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3703
Mailing Address - Country:US
Mailing Address - Phone:303-316-3933
Mailing Address - Fax:303-333-6385
Practice Address - Street 1:499 E HAMPDEN AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2780
Practice Address - Country:US
Practice Address - Phone:303-788-5300
Practice Address - Fax:303-333-6385
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2009-02-10
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Provider Licenses
StateLicense IDTaxonomies
COAW7424346208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01979814Medicaid
CO01979814Medicaid
92428Medicare ID - Type Unspecified