Jonathan Paul Wulff in Eaton Rapids - Family Medicine

Jonathan Paul Wulff - NPI 1417913104

Jonathan Paul Wulff is a Family Medicine in Eaton Rapids, Michigan. Jonathan Paul Wulff practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathan Paul Wulff is 1417913104. The last update date is 2016-03-09.

Jonathan Paul Wulff's current location address is Po Box 269, Eaton Rapids, Michigan. You can contact this provider via phone number 5176634821 and fax number 5176635650. The mailing address for Jonathan Paul Wulff is Po Box 269, Eaton Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Paul Wulff
Address Po Box 269, Eaton Rapids, Michigan
Phone Number 5176634821
Fax Number 5176635650
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1417913104
Provider Enumeration Date 2006-04-22
Last Updated Date 2016-03-09

Provider Mailing Address Detail

Address Po Box 269
City Eaton Rapids
State Michigan (MI)
Post Code 48827
Phone Number 5176634821
Fax Number 5176635650

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No JW006732
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
152300115 MI BCBS
1388397 MI --
100445 MI PHYSICIAN HEALTH PLAN
P59044 MI BLUE CHOICE POS
4053314 MI AETNA
791063605 MI RR MEDICARE

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FAQs about Jonathan Paul Wulff

What is the unique 10-digit identification code issued to Jonathan Paul Wulff by the Centers for Medicare & Medicaid Services?

The Jonathan Paul Wulff has been assigned the NPI (National Provider Identifier) 1417913104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jonathan Paul Wulff's facilities are geographically located?

The facilities of Jonathan Paul Wulff are physically situated at the following location: Po Box 269, Eaton Rapids, MI, 48827.

What is the Jonathan Paul Wulff's specialty and taxonomy code?

The Jonathan Paul Wulff's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Jonathan Paul Wulff receive the assignment of its 1417913104 from the Centers for Medicare & Medicaid Services?

The Jonathan Paul Wulff was issued its 1417913104 by the Centers for Medicare & Medicaid Services on 2006-04-22.

When was the information regarding Jonathan Paul Wulff most recently updated?

The details pertaining to the Jonathan Paul Wulff, including its address, specialty, and other relevant information, were last refreshed on 2016-03-09.

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