Individual
DONALD WOLFRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Mailing address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01041640A
IN
207P00000X
Emergency Medicine Physician
4301082038
MI
207Q00000X
Family Medicine Physician
Primary
4301082038
MI
Other
Enumeration date
07/17/2006
Last updated
03/17/2018
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