DR. JEFFREY ALAN WOLFSON M.D. NPI 1396730503

NPI Information

NPI: 1396730503
Provider Name: DR. JEFFREY ALAN WOLFSON, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1000 E PARIS AVE SE
STE 200
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 949-8554
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DR. Jeffrey Alan Wolfson, M.D. is a cardiovascular disease internal medicine in Grand Rapids, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jeffrey Alan Wolfson, M.D. NPI is 1396730503. 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:

1000 E PARIS AVE SE
STE 200
GRAND RAPIDS, MI
ZIP 49546-691
Phone: (616) 949-8554
Fax: (616) 949-6557

The enumeration date for this NPI number is 9/14/2005 and was last updated on 3/31/2008.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	4301063821	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	D10242	MEDICARE UPIN	MICHIGAN
2	103045795	MEDICAID	MICHIGAN
3	N90310003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	060029311	OTHER	MICHIGAN	MEDICARE RRR

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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