Individual
MR. JEFFREY ALAN WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGAC-NP
Contact information
Practice address
2065 EDWARD LN E, KIMBALL, MI 48074-1925
(586) 260-6154
Mailing address
2065 EDWARD LN E, KIMBALL, MI 48074-1925
(586) 260-6154
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704292956
MI
363LG0600X
Gerontology Nurse Practitioner
4704292956
MI
Other
Enumeration date
10/16/2017
Last updated
04/05/2018
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