Individual
DR. MARK D WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 BLOOMFIELD WOODS CT, WEST BLOOMFIELD, MI 48323-1915
(248) 454-0888
(248) 332-0451
Mailing address
2055 BLOOMFIELD WOODS CT, WEST BLOOMFIELD, MI 48323-1915
(248) 454-0888
(248) 332-0451
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MW052955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352108410
—
MI
Enumeration date
07/11/2006
Last updated
07/08/2015
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