| Dr Joel R Wolfe, MD | |
|
370 120th Ave, Holland, MI 49424-2196 | |
| (616) 396-5855 | |
| (616) 396-5720 |
| Full Name | Dr Joel R Wolfe |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 370 120th Ave, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710987870 | NPI | - | NPPES |
| 2977390 | Medicaid | MI | |
| JW051928 | Other | MI | STATE LICENSE |
| 0888470001 | Other | MI | MEDICARE DME PTAN |
| 4361552 | Other | MI | AETNA |
| P70442 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | JW051928 (Michigan) | Primary |
| Entity Name | Shoreline Orthopaedic & Sports Medicine Clinic P L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275579765 PECOS PAC ID: 6002891926 Enrollment ID: O20040623000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joel R Wolfe, MD 370 120th Ave, Holland, MI 49424-2196 Ph: (616) 396-5855 | Dr Joel R Wolfe, MD 370 120th Ave, Holland, MI 49424-2196 Ph: (616) 396-5855 |
Dr. Bruce Andrew Stewart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 N 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 616-396-5720 | |
Dr. Michael A Cheek, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 877-592-0688 | |
Dr. Brian W. Paff, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 N 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 616-396-5720 | |
Dr. Jon D Hop, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 616-396-5720 | |
John Swartz, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 N 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 616-396-5720 | |
Dr. John I Khoury, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 370 N 120th Ave, Holland, MI 49424 Phone: 616-396-5855 Fax: 616-396-5720 | |
Daniel A Dethmers, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 958 S Shore Dr, Holland, MI 49423 Phone: 217-366-5201 |