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Individual

MRS. MARY JO K VOELPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3003 S. BALDWIN RD., SUITE A, LAKE ORION, MI 48359
(248) 391-9220
(248) 391-9224
Mailing address
P.O. BOX 318, 3003 S. BALDWIN RD. SUITE A, LAKE ORION, MI 48359
(248) 391-9220
(248) 391-9224

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MV006984
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
(11)4509816
MI
01
103416
GREAT LAKES
MI
01
103779
CARE CHOICE
MI
01
1156300864
BCBS
MI
01
122064-0003
WELLNESS
MI
01
23D089621
CLIA
MI
01
383460440
PPOM
MI
01
4217
CAPE HEALTH
MI
01
4441531
TEAMSTERS
MI
01
50016867
HAP
MI
01
C4930
MCARE
MI
01
P00061141
RR MEDICARE
MI
01
P44577
BCN
MI
Enumeration date
11/03/2005
Last updated
01/28/2015
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