Organization
OMNI FOOTCARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNOLD BRYAN WOLF DPM (PRESIDENT)
(586) 247-0840
Entity
Organization
Contact information
Practice address
13811 19 MILE RD, STERLING HEIGHTS, MI 48313-2705
(586) 247-0840
(586) 247-7668
Mailing address
13811 19 MILE RD, STERLING HEIGHTS, MI 48313-2705
(586) 247-0840
(586) 247-7668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AW001164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104435
GREAT LAKES
MI
05
—
1710645
—
MI
01
—
4662672
AETNA
MI
01
—
480E021060
BCBSM
MI
01
—
4885050380
BCBS
MI
01
—
83069B
HAP
MI
01
—
870453
UNITED HEALTHCARE
MI
01
—
AW001164
STATE LICENSE
MI
01
—
C7479
M CARE
MI
01
—
DE4368
RAILROAD MEDICARE PART B
MI
Enumeration date
10/04/2007
Last updated
10/17/2023
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