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Organization

STEVEN WOLF, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MICHAEL WOLF DDS (PRESIDENT)
(586) 755-2770
Entity
Organization

Contact information

Practice address
25916 DEQUINDRE RD, WARREN, MI 48091-6112
(586) 755-2770
(586) 755-1690
Mailing address
25916 DEQUINDRE RD, WARREN, MI 48091-6112
(586) 755-2770
(586) 755-1690

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901009207
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107503
CARE CHOICES
MI
01
147805
GREAT LAKES HEALTH PLAN
MI
01
4139520
AETNA
01
47679
OMNICARE
MI
01
664
GREAT LAKE HEALTH PLAN
MI
01
9755066630
BCBS
MI
01
RJ017024
BCBS
MI
01
SW009207
BCBS LICENSE
MI
01
T82976
HAP
MI
01
U93813
HAP
MI
Enumeration date
07/29/2005
Last updated
04/08/2008
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