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Individual

MS. LYNDA J WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
130 TOWN CENTER DRIVE, SUITE 106, TROY, MI 48084-1744
(248) 619-3100
(248) 619-9031
Mailing address
130 TOWN CENTER DRIVE, SUITE 106, TROY, MI 48084-1744
(248) 619-3100
(248) 619-9031

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35070243
OH
207VE0102X
Reproductive Endocrinology Physician
35070243
OH
207VE0102X
Reproductive Endocrinology Physician
Primary
4301056629
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0241205
OH
Enumeration date
09/01/2005
Last updated
05/31/2016
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