# MARK WOLF, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285948364
- **Authorized official:** DR. MARK D WOLF M.D. (OWNER/OPERATED)
- **Authorized official phone:** (248) 830-6697

## Contact information

- **Practice address:** 2055 BLOOMFIELD WOODS CT, WEST BLOOMFIELD, MI 48323-1915
- **Practice address phone:** (248) 335-0537
- **Mailing address:** 2055 BLOOMFIELD WOODS CT, WEST BLOOMFIELD, MI 48323-1915
- **Mailing address phone:** (248) 335-0537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 4301052955 | MI | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 11/13/2015
