Organization
JOHN A. VOLLMER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY VOLLMER MD (OWNER)
(586) 777-4668
Entity
Organization
Contact information
Practice address
25250 KELLY RD, ROSEVILLE, MI 48066-4473
(586) 777-4668
(586) 777-4452
Mailing address
25250 KELLY RD, ROSEVILLE, MI 48066-4473
(586) 777-4668
(586) 777-4452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JV046289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805016351
BLUE CROSS BLUE SHIELD
MI
01
—
JV046289
STATE LICENSE
MI
Enumeration date
11/06/2007
Last updated
03/07/2023
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