Individual
DR. DOUGLAS DANE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 543-0875
Mailing address
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 543-0875
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101011295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000059
PHYSICIAN'S HEALTH PLAN
MI
01
—
2070059
PHP FAMILY CARE
MI
01
—
DW011295
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/29/2006
Last updated
07/08/2007
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