Individual
PHILIP WOLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
1928 BAYOU DR, BLOOMFIELD HILLS, MI 48302-1207
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301048577
MI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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