Individual
CATHERINE WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W. 13 MILE RD, 400 FSC-PCS, ROYAL OAK, MI 48073-6769
(248) 423-2481
Mailing address
130 TOWN CENTER DRIVE, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704212940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F364420
BCBSM
MI
05
—
4559184
—
MI
Enumeration date
03/01/2006
Last updated
08/02/2017
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