DR. ROBERT J WOLF MD NPI 1003805904

NPI Information

NPI: 1003805904
Provider Name: DR. ROBERT J WOLF, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1540 LAKE LANSING RD
SUITE 107
LANSING, MI
ZIP 48912
Phone: (517) 913-3800
Get Directions

DR. Robert J Wolf, MD is a diagnostic radiology radiology in Lansing, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Robert J Wolf, MD NPI is 1003805904. 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:

1540 LAKE LANSING RD
SUITE 107
LANSING, MI
ZIP 48912-756
Phone: (517) 913-3800
Fax: (517) 913-3901

The enumeration date for this NPI number is 10/14/2005 and was last updated on 10/8/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	4301073351	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	1023349	OTHER	MICHIGAN	MCLAREN HEALTH ADVANTAGE
2	4815847	MEDICAID	MICHIGAN
3	1023349	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-COMMERCIAL
4	200000001052	OTHER	MICHIGAN	PHP
5	200000001052	OTHER	MICHIGAN	PHP FAMILYCARE
6	255189	OTHER		PHCS
7	0M21440051	OTHER	MICHIGAN	MEDICARE ADVANTAGE
8	7721024	OTHER		AETNA
9	F93329	MEDICARE UPIN
10	M21440051	MEDICARE PIN	MICHIGAN
11	P00350809	OTHER		RAILROAD MEDICARE
12	3003314351	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK
13	1023349	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-MEDICAID

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: 4/28/2024

NPI Synchronization or Removal

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