Wollin, Michael R

Wollin, Michael R is an individual health care provider with primary practice located at 25 Oak Avenue , Worcester MA 01605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wollin, Michael R can be contacted via phone (508) 756-6293.

Contact Information

Primary practice address
25 Oak Avenue Worcester MA 01605
Fax: (508) 756-9404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 70704 Massachusetts

Profile Details

NPI number 1750381836
LBN Legal business name Wollin, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 31st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750381836 NPPES
Massachusetts MEDICAID 20211512
Massachusetts MEDICAID 3045111

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