Provider Demographics
NPI:1336340322
Name:WOLFE, AMIR H (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:H
Last Name:WOLFE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22402 CHATSFORD CIRCUIT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-6240
Mailing Address - Country:US
Mailing Address - Phone:248-350-3503
Mailing Address - Fax:
Practice Address - Street 1:39000 MOUND RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-2733
Practice Address - Country:US
Practice Address - Phone:586-826-5744
Practice Address - Fax:586-826-5430
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010808532083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine