Provider Demographics
NPI:1952416877
Name:WULFEKUHLER, LOUIS E (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:E
Last Name:WULFEKUHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 S US HIGHWAY 27
Mailing Address - Street 2:SUITE B-37
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-2423
Mailing Address - Country:US
Mailing Address - Phone:989-227-1800
Mailing Address - Fax:989-227-1801
Practice Address - Street 1:1015 S US HIGHWAY 27
Practice Address - Street 2:SUITE B-37
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-2423
Practice Address - Country:US
Practice Address - Phone:989-227-1800
Practice Address - Fax:989-227-1801
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055180207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1101914331OtherBCBS OF MICHIGAN
MIG05602Medicare UPIN
MIP13830001Medicare ID - Type Unspecified