Individual
DR. DOUGLAS DANE WOLFORD
Active
Individual
DR. DOUGLAS DANE WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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