Provider Demographics
NPI:1881695492
Name:WOLFE, ANN MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:WOLFE
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 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-517-4000
Mailing Address - Fax:419-517-4001
Practice Address - Street 1:7640 SYLVANIA AVE
Practice Address - Street 2:I
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9729
Practice Address - Country:US
Practice Address - Phone:419-517-4000
Practice Address - Fax:419-517-4001
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081750W207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2256533OtherUNITED HEALTH CARE
OH7594411OtherAETNA
OH000000255022OtherANTHEM BCBS
OHP00025289OtherRAILROAD MEDICARE
OH04269OtherPARAMOUNT
OH2366998Medicaid
OH04269OtherPARAMOUNT
OHW04098562Medicare PIN