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Individual

DR. MARK H DEWOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5400 N OAK TRFY, SUITE 101, KANSAS CITY, MO 64118-4688
(816) 454-1658
(816) 454-1734
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-19790
KS
207RH0003X
Hematology & Oncology Physician
Primary
R3A25
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026295099
FEDERAL BLACK LUNG
MO
01
09468014
BCBS OF KANSAS CITY
MO
01
1001457701
COMMUNITY HEALTH PLAN
MO
01
12440
HM CARE
MO
01
13192
COVENTRY
MO
05
201787405
MO
05
2051670901
KS
01
3650047
UHC
MO
01
4340992
AETNA
MO
01
480911591028
CIGNA
MO
01
497815
BCBS OF KANSAS
KS
01
560391
FIRSTGUARD
MO
01
97759
ADVANTRA MEDICARE REPLACE
MO
Enumeration date
05/23/2005
Last updated
02/12/2026
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