Basic Information
Provider Information
NPI: 1881645224
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOLFE
FirstName: CURTIS
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 711 GENN DRIVE WAMEGO HOSPITAL ASSOCIATION
Address2: DBA WAMEGO HEALTH CENTER AND WAMEGO FAMILY CLINIC
City: WAMEGO
State: KS
PostalCode: 66547
CountryCode: US
TelephoneNumber: 7854566288
FaxNumber: 7854568139
Practice Location
Address1: 711 GENN DRIVE WAMEGO HOSPITAL ASSOCIATION
Address2: DBA WAMEGO HEALTH CENTER AND WAMEGO FAMILY CLINIC
City: WAMEGO
State: KS
PostalCode: 66547
CountryCode: US
TelephoneNumber: 7854566288
FaxNumber: 7854568139
Other Information
ProviderEnumerationDate: 05/12/2006
LastUpdateDate: 05/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QA0505X0428146KSY Allopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
207Q00000X0428146KSN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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