MR. JEFFREY ALAN WOLFF


Address: 2065 Edward Ln E, Kimball, MI 48074-1925
Phone: 5862606154

MR. JEFFREY ALAN WOLFF (NPI# 1841701034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841701034
Entity Type Individual
Full Name MR. JEFFREY ALAN WOLFF
Credential AGAC-NP
Practice Address 2065 Edward Ln E
Kimball
MI 48074-1925
Practice Telephone 5862606154
Mailing Telephone 5862606154
Enumeration Date 2017-10-16
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
4704292956 MI Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
4704292956 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3990 John R St, Detroit, MI 482012018 3137458040

Other Providers JEFFREY WOLFF

NPI Name Taxonomy Address Enumeration
1376607739 Jeffrey H. Wolff Dentist 5766 Okeechobee Blvd, West Palm Beach, FL 33417-4343 2006-12-20
1306868104 Jeffrey Glenn Wolff Psychiatry & Neurology 66 Maple Ave, Morristown, NJ 07960-5250 2006-07-24
1528008059 Jeffrey Moyer Wolff Dermatology 419 W Pittsburgh St, Greensburg, PA 15601-2211 2006-06-06

Office Location

Street Address 2065 EDWARD LN E
City KIMBALL
State MI
Zip Code 48074-1925

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811538036 Marisa Robbi Dunlap Behavior Technician 631 Richman, 631 Richman, Smiths Creek, MI 48074 2019-09-30
1568930501 Audrey Christine Hollen Behavior Technician 4652 Cloverdale Ln, Kimball, MI 48074 2018-11-07
1366894818 Gaganjot Sandhu Student in an Organized Health Care Education/Training Program 16001 W. Nine Miler Road, Providence-providence Park Hospitals - Southfield, Southfield, MI 48074 2016-07-08
1912357526 Ashlee Marie O'shell Student in an Organized Health Care Education/Training Program Providence-providence Park Hospitals - Southfield, 16001 W. Nine Mile Road, Southfield, MI 48074 2016-06-14
1730567371 Scott J. Ferguson Dds & Associates Pllc Dentist 2837 Stable Drive, Ste A, Kimball, MI 48074 2015-05-15
1629387337 Tamara Dawn Lynch Veterinarian 367 Wadhams Rd, Smiths Creek, MI 48074 2010-09-29
1932348737 Lisa Marie Rottman Adamson Physical Therapy Assistant 1048 Broad Ax Lane, Kimball, MI 48074 2009-02-18
1891858742 Susan Millie Fagan Dentist 5281 Lapeer Road, Kimball, MI 48074 2006-12-19
1982701868 Home Town Pharmacy Inc Durable Medical Equipment & Medical Supplies 5277 Lapeer Rd, Kimball, MI 48074 2006-09-20
1043314347 Sacred Heart Substance Abuse Rehabilitation Facility 1910 Ditty Rd, Kimball, MI 48074 2006-09-08
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1861092900 Lindsay Overall Nurse Practitioner 1962 Sherlynn Dr, Brighton, MI 48114-7618 2020-10-28
1588289144 Anne Elizabeth Stephan Nurse Practitioner 1320 Addington Ln, Ann Arbor, MI 48108-8951 2020-06-10
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1023637766 Jbnp Services, LLC Nurse Practitioner 19520 Parker St, Livonia, MI 48152-1579 2020-04-13
1912536137 Mary Bailey Nurse Practitioner 8254 Twin Creek Cir, Temperance, MI 48182-8202 2020-04-08
1679108500 Jennifer Ann Rutzen Nurse Practitioner 5802 Montebello Ave, Haslett, MI 48840-8208 2020-03-11
1871126813 Gregory M Ali Nurse Practitioner 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 2020-02-18
1730712969 Anthony Joseph Jurecic Nurse Practitioner 2382 Us 41 W, Marquette, MI 49855-2456 2020-02-17
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
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Competitor

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City KIMBALL
Zip Code 48074

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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