Dr. Mark D Wolf
Infectious Disease
2055 Bloomfield Woods Ct
West Bloomfield
, Michigan 48323-1915
Dr. Mark D Wolf
Infectious Disease
2055 Bloomfield Woods Ct
West Bloomfield
, Michigan 48323-1915
(248) 332-0451
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Mark D Wolf
- 2055 Bloomfield Woods Ct
- West Bloomfield, MI
- Zip : 48323-1915
- Fax : (248) 332-0451
- Phone : (248) 454-0888
Second Address
- Dr. Mark D Wolf
- 2055 Bloomfield Woods Ct
- West Bloomfield, MI
- Zip : 48323-1915
- Fax : (248) 332-0451
- Phone : (248) 454-0888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | MW052955 | MI |
National Provider Identifier
| NPI | 1023043973 |
|---|---|
| Provider Name | Dr. Mark D Wolf |
| First Address | West Bloomfield, MI 48323-1915 |
| Second Address | West Bloomfield, MI 48323-1915 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 352108410 | (05) | MI |
| F04772 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.