Wolf, Bruce

Wolf, Bruce is an individual health care provider with primary practice located at 3220 Discovery Dr Ste 100 , Lansing MI 48910-7015. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wolf, Bruce can be contacted via phone (517) 975-8930.

Contact Information

Primary practice address
3220 Discovery Dr Ste 100 Lansing MI 48910-7015
Phone: (517) 975-8930
Fax: (517) 337-4985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5101012460 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 5101012460 Michigan

Profile Details

NPI number 1275639874
LBN Legal business name Wolf, Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275639874 NPPES
Michigan MEDICAID 1275639874

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