Provider Demographics
NPI:1508058686
Name:WOLF, ARON S (MD)
Entity Type:Individual
Prefix:DR
First Name:ARON
Middle Name:S
Last Name:WOLF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8133 SUNDI DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-4198
Mailing Address - Country:US
Mailing Address - Phone:907-243-4747
Mailing Address - Fax:907-245-0574
Practice Address - Street 1:4120 LAUREL ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5392
Practice Address - Country:US
Practice Address - Phone:907-677-9728
Practice Address - Fax:907-677-9729
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK08312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD08312Medicaid
AKMD08312Medicaid