Individual
KAYLA R WOLFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3443 FARR RD, FRUITPORT, MI 49415-8779
(231) 672-2900
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 740-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151016239
MI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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