DR. KENNETH WOLF MD NPI 1083741367

NPI Information

NPI: 1083741367
Provider Name: DR. KENNETH WOLF, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
1990 UNION LAKE RD STE 200
COMMERCE TOWNSHIP, MI
ZIP 48382
Phone: (248) 363-9413
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DR. Kenneth Wolf, MD is a plastic and reconstructive surgery surgery in Commerce Township, MI. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Kenneth Wolf, MD NPI is 1083741367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1990 UNION LAKE RD STE 200
COMMERCE TOWNSHIP, MI
ZIP 48382-200
Phone: (248) 363-9413

The enumeration date for this NPI number is 2/27/2007 and was last updated on 1/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	4301052877	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F98892	MEDICARE UPIN	MICHIGAN
2	0M03700	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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