Bruce Wolf is a Specialist in East Lansing, Michigan. Bruce Wolf practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce Wolf is 1275639874. The last update date is 2023-07-06.
Bruce Wolf's current location address is 804 Service Rd Ste A109b, East Lansing, Michigan. You can contact this provider via phone number 5179758930 and fax number 5173374985. The mailing address for Bruce Wolf is 804 Service Rd Ste A109b, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Wolf |
|---|---|
| Address | 804 Service Rd Ste A109b, East Lansing, Michigan |
| Phone Number | 5179758930 |
| Fax Number | 5173374985 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1275639874 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2023-07-06 |
Provider Mailing Address Detail
| Address | 804 Service Rd Ste A109b |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488247015 |
| Phone Number | 5179758930 |
| Fax Number | 5173374985 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5101012460 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1275639874 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Wolf by the Centers for Medicare & Medicaid Services?
The Bruce Wolf has been assigned the NPI (National Provider Identifier) 1275639874. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bruce Wolf is physically located?
The Bruce Wolf is situated at the following address: 804 Service Rd Ste A109B, East Lansing, MI 488247015.
What is the area of specialization for Bruce Wolf, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Wolf is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275639874 to Bruce Wolf?
The Centers for Medicare & Medicaid Services assigned the 1275639874 to Bruce Wolf on 2006-09-15.
When was the Bruce Wolf's information last updated?
The Bruce Wolf's information was last updated on 2023-07-06.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY