Individual
DR. KENNETH WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 UNION LAKE RD STE 200, COMMERCE TOWNSHIP, MI 48382-2200
(248) 363-9413
Mailing address
1990 UNION LAKE RD STE 200, COMMERCE TOWNSHIP, MI 48382-2200
(248) 363-9413
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301052877
MI
Other
Enumeration date
02/27/2007
Last updated
01/10/2008
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