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Individual

EMILY KATHERINE WOLFRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17900 23 MILE RD STE 101, MACOMB, MI 48044-1161
(586) 868-9200
Mailing address
24116 MEADOWBRIDGE DR, CLINTON TOWNSHIP, MI 48035-3008
(407) 485-9541

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704289427
MI
363LP2300X
Primary Care Nurse Practitioner
4704289427
MI

Other

Enumeration date
05/16/2018
Last updated
04/19/2020
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