Individual
DR. ARNOLD BRYAN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13811 19 MILE RD, STERLING HEIGHTS, MI 48313-2705
(586) 247-0840
(586) 247-7668
Mailing address
13811 19 MILE RD, STERLING HEIGHTS, MI 48313-2705
(586) 247-0840
(586) 247-7668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104435
GREAT LAKES HEALTH ID
MI
05
—
1710645
—
MI
01
—
382637930
TAX ID
MI
01
—
4662672
AETNA ID
MI
01
—
480E021060
BCBSM
MI
01
—
4885050380
BCBS ID
MI
01
—
83069B
HAP ID
MI
01
—
870453
UNITED HEALTHCARE ID
MI
01
—
AW001164
STATE LICENSE
MI
01
—
C7479
M CARE ID
MI
01
—
P00292814
RAILROAD MEDICARE PART B
MI
Enumeration date
08/12/2005
Last updated
10/05/2023
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