Individual
GARY MICHAEL WOLFE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-8432
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005474
MI
363AS0400X
Surgical Physician Assistant
5601005474
MI
Other
Enumeration date
03/05/2009
Last updated
07/22/2022
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