Provider Demographics
NPI:1164476453
Name:WOLF, MARGARET C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:C
Last Name:WOLF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 13TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-5067
Mailing Address - Country:US
Mailing Address - Phone:563-243-2511
Mailing Address - Fax:563-243-0817
Practice Address - Street 1:915 13TH AVE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-5067
Practice Address - Country:US
Practice Address - Phone:563-243-2511
Practice Address - Fax:563-243-0817
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31031208800000X
IA24262208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA53201OtherWELLMARK BC/BS
IA27205OtherIOWA HEALTH SOLUTIONS
021447OtherHEALTH ALLIANCE
19358OtherMIDLANDS CHOICE
IA0134379Medicaid
N53762OtherJOHN DEERE HEALTH
021447OtherHEALTH ALLIANCE
IA0134379Medicaid
340010740Medicare PIN
IA27205OtherIOWA HEALTH SOLUTIONS