Individual
DR. DAVID L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3333 BIDDLE AVE, SUITE A, WYANDOTTE, MI 48192-6284
(734) 324-3667
(734) 324-3668
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101006786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24657
BLUE CROSS
MI
01
—
1457586646
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
05/10/2006
Last updated
02/22/2017
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