Wolf, Mark D
Wolf, Mark D is an sole proprietor health care provider with primary practice located at 2055 Bloomfield Woods Ct , West Bloomfield MI 48323-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wolf, Mark D can be contacted via phone (248) 454-0888.Contact Information
Primary practice address
2055 Bloomfield Woods Ct
West Bloomfield MI 48323-1915
Phone: (248) 454-0888
Fax: (248) 332-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MW052955 | Michigan |
Profile Details
| NPI number | 1023043973 |
|---|---|
| LBN Legal business name | Wolf, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2015 - about 9 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023043973 | NPPES |
| Michigan | MEDICAID | 352108410 |
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