| Mark Wolf, Md, Pc | |
|
2055 Bloomfield Woods Ct West Bloomfield MI 48323-1915 | |
| (248) 335-0537 | |
| Not Available |
| Full Name | Mark Wolf, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2055 Bloomfield Woods Ct, West Bloomfield, Michigan |
| Authorized Official Name and Position | Mark D Wolf (OWNER/OPERATED) |
| Authorized Official Contact | 2488306697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wolf, Md, Pc 2055 Bloomfield Woods Ct West Bloomfield MI 48323-1915 Ph: (248) 335-0537 | Mark Wolf, Md, Pc 2055 Bloomfield Woods Ct West Bloomfield MI 48323-1915 Ph: (248) 335-0537 |
| NPI Number | 1285948364 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 3779770300 |
|---|---|
| Medicare Enrollment ID | O20101208001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285948364 | NPI | - | NPPES |
| 4408234271 | Other | BCBS | |
| 3521084 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 4301052955 (Michigan) | Primary |
| Provider Name | Mark D Wolf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023043973 PECOS PAC ID: 4688861214 Enrollment ID: I20101208001317 |
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