Individual
DR. ROBERT J WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301073351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440051
MEDICARE ADVANTAGE
MI
01
—
1023349
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
200000001052
PHP
MI
01
—
255189
PHCS
—
01
—
3003314351
BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK
MI
05
—
4815847
—
MI
01
—
7721024
AETNA
—
01
—
P00350809
RAILROAD MEDICARE
—
Enumeration date
10/14/2005
Last updated
10/08/2009
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