Michael Wollock

NPI 1912064049 · on the registry since 2007 · sole proprietor

Practice

Address: 32 Parking Plz
604 The Times Bldg, Suburban Square
Ardmore, PA 19003
Phone: (610) 649-0313
Organisation at this address: Sylvan Dermatology Llc
Christopher S. Perrie, Dds, Md, Llc
Laser Surgery And Cosmetic Dermatology Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania