Bruce Wolf (NPI# 1275639874, PAC ID# 3375436785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1275639874 |
| PAC ID by PECOS | 3375436785 |
| Professional Enrollment ID | I20040207000170 |
| Full Name | Bruce Wolf |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Address |
4660 S Hagadorn Rd 600 Msu Womens Imaging Center East Lansing MI 48824-5383 |
| Phone Number | 5173534920 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1994 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3870405954 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4660 S Hagadorn Rd, 600 Msu Womens Imaging Center, East Lansing, MI 48824-5383 | 5173534920 | MICHIGAN STATE UNIVERSITY |
| 804 Service Rd, Rm A204, East Lansing, MI 48824-7015 | 5173534920 | MICHIGAN STATE UNIVERSITY |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Physicians | 226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Boote | Pediatric Medicine | Michigan State University | 7355 Westshire Dr, Suite 102, Lansing, MI 48917-9764 |
| Robert T Scott | Family Medicine | Michigan State University | 804 Service Rd Rm, A225, East Lansging, MI 48824-7040 |
| Christine L Shafer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Albert Aniskiewicz | Psychologist, Clinical | Michigan State University | 804 Service Rd, Rm A217, East Lansing, MI 48824-7015 |
| Cheryl G Mills | Nurse Practitioner | Michigan State University | 4650 S Hagadorn Rd, 100 Msu Medicine Specialty Center, East Lansing, MI 48823-5386 |
| Joseph R Pernicone | Diagnostic Radiology | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Kevin Charles Robinson | Diagnostic Radiology | Michigan State University | 463 E Circle Dr, Olin Student Health Services, East Lansing, MI 48824-7500 |
| Street Address |
4660 S HAGADORN RD 600 MSU WOMENS IMAGING CENTER |
| City | EAST LANSING |
| State | MI |
| Zip | 48824-5383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Catherine B Donahue | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, 500 Michigan State University Spine Center, East Lansing, MI 48823-6804 |
| Paul D Schneider | General Surgery | Michigan State University | 4660 S Hagadorn Rd, Suite 600, East Lansing, MI 48823-5383 |
| Supratik Rayamajhi | Internal Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Mark R Gugel | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Mary C Thiel | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Gilmore | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Ashley R Day | Physician Assistant | Michigan State University | 4660 S Hagadorn Rd, Suite 600, East Lansing, MI 48823-5383 |
| Jacob Joseph Rowan | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, 500 Msu Spine and Orthopedic Center, East Lansing, MI 48823-6804 |
| Clarence Nicodemus | Osteopathic Manipulative Medicine | Michigan State University | 4660 S Hagadorn Rd, East Lansing, MI 48823-5353 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph R Pernicone | Diagnostic Radiology | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Michael T Mangan | Family Medicine | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Timothy Paul Spedoske | Family Medicine | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Leigh A White | Psychiatry | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Andrea Amalfitano | Pediatric Medicine | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Stacy S Bull | Family Practice | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Qaisra Zubair | Family Practice | Michigan State University | 463 E Circle Dr Rm, Suite 102, East Lansing, MI 48824-1037 |
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Peter G Bennick | Physician Assistant | Michigan State University | 138 Service Rd, East Lansing, MI 48824-1376 |
| Alice Opiyo Mwanda | Nurse Practitioner | Michigan State University | 138 Service Rd, East Lansing, MI 48824-1376 |
| Find all physicians in zip 48824 | |||
| City | EAST LANSING |
| Zip Code | 48824 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | EAST LANSING + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Bruce Wolf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.