| Steven Wolf, Dds, Pc | |
|
25916 Dequindre Rd Warren MI 48091-6112 | |
| (586) 755-2770 | |
| (586) 755-1690 |
| Full Name | Steven Wolf, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 25916 Dequindre Rd, Warren, Michigan |
| Authorized Official Name and Position | Steven Michael Wolf (PRESIDENT) |
| Authorized Official Contact | 5867552770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Wolf, Dds, Pc 25916 Dequindre Rd Warren MI 48091-6112 Ph: (586) 755-2770 | Steven Wolf, Dds, Pc 25916 Dequindre Rd Warren MI 48091-6112 Ph: (586) 755-2770 |
| NPI Number | 1801896923 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 6406931930 |
|---|---|
| Medicare Enrollment ID | O20080307000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801896923 | NPI | - | NPPES |
| 47679 | Other | MI | OMNICARE |
| SW009207 | Other | MI | BCBS LICENSE |
| T82976 | Other | MI | HAP |
| 107503 | Other | MI | CARE CHOICES |
| U93813 | Other | MI | HAP |
| 4139520 | Other | AETNA | |
| 9755066630 | Other | MI | BCBS |
| 147805 | Other | MI | GREAT LAKES HEALTH PLAN |
| 664 | Other | MI | GREAT LAKE HEALTH PLAN |
| RJ017024 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901009207 (Michigan) | Primary |
| Provider Name | Robert C John |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598765604 PECOS PAC ID: 1557303765 Enrollment ID: I20050527000399 |
| Provider Name | Zaid W Abu-seir |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285898536 PECOS PAC ID: 0547496093 Enrollment ID: I20131112000568 |
| Provider Name | Michael R Higginbotham |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1346505542 PECOS PAC ID: 0749400075 Enrollment ID: I20141008000980 |
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