| Wolffinternalmedicine Pllc | |
|
3011 W Grand Blvd Ste 210 Detroit MI 48202-3068 | |
| (313) 871-7572 | |
| (313) 871-7573 |
| Full Name | Wolffinternalmedicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3011 W Grand Blvd Ste 210, Detroit, Michigan |
| Authorized Official Name and Position | Garen Wolff (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3136186349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolffinternalmedicine Pllc 3011 W Grand Blvd Ste 210 Detroit MI 48202-3068 Ph: (313) 871-7572 | Wolffinternalmedicine Pllc 3011 W Grand Blvd Ste 210 Detroit MI 48202-3068 Ph: (313) 871-7572 |
| NPI Number | 1306592100 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/12/2022 |
| Medicare PECOS PAC ID | 6507251188 |
|---|---|
| Medicare Enrollment ID | O20220317000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306592100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Garen Wolff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154855443 PECOS PAC ID: 6507136835 Enrollment ID: I20220302001673 |
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