| Doctor Name: | MR. LELAND W WOLF |
| NPI Number: | 1215047642 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | LW049603 |
| Business Practice Address: | 9078 Rail Street Pittsford, MI - 49271 |
| Business Phone Number: | 5175232127 |
| Business Fax Number: | 5175233976 |
| Mailing Address: | Po Box 147, 9078 Rail Street PITTSFORD |
| State: | MI |
| Postal Code: | 49271 |
| Phone Number: | 5175232127 |
| Fax Number: | 5175233976 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 02/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | LW049603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |