Provider Demographics
NPI:1154560035
Name:WOLF, DAVID LINDSEY (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LINDSEY
Last Name:WOLF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2240 ENCINITAS BLVD STE D50
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4345
Mailing Address - Country:US
Mailing Address - Phone:858-759-6729
Mailing Address - Fax:858-759-6739
Practice Address - Street 1:9850 GENESEE AVE STE 500
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1213
Practice Address - Country:US
Practice Address - Phone:858-450-1776
Practice Address - Fax:858-450-9446
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
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Provider Licenses
StateLicense IDTaxonomies
CAG23881208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery