Individual
DR. MARLISA ROSE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL OF MI - 3RD FL, 3901 BEAUBIEN, DETROIT, MI 48201
(313) 966-0128
(313) 993-0390
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE UHC 5D - 226, DETROIT, MI 48201-2119
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301116977
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
04/17/2019
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