Individual
DR. TERI LYN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 W LIBERTY ST APT 360, ANN ARBOR, MI 48104-1365
(734) 997-9484
(734) 997-9484
Mailing address
101 W. LIBERTY ST., SUITE 360, ANN ARBOR, MI 48104-9520
(734) 997-9484
(734) 997-9484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4301074082
MI
2084P0800X
Psychiatry Physician
Primary
4301074082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910475
BCBS PIN
MI
Enumeration date
08/15/2006
Last updated
02/02/2017
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