Individual
MERVIN GARY WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3011 W GRAND BLVD STE 210, DETROIT, MI 48202-3068
(313) 871-7572
(313) 871-7573
Mailing address
3011 W GRAND BLVD STE 210, DETROIT, MI 48202-3068
(313) 871-7572
(313) 871-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MW046725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108211832
BCBS PROVIDER NO.
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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