Wulff, Mark A

Wulff, Mark A is an individual health care provider with primary practice located at 3101 Broadway Blvd , Kansas City MO 64111-2659. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wulff, Mark A can be contacted via phone (816) 960-3060.

Contact Information

Primary practice address
3101 Broadway Blvd Kansas City MO 64111-2659
Phone: (816) 960-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 105280 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 105280 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 105280 Missouri

Profile Details

NPI number 1043259351
LBN Legal business name Wulff, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043259351 NPPES
Missouri MEDICAID 207748617

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