| Doctor Name: | DR. ROBERT J WOLF |
| NPI Number: | 1003805904 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301073351 |
| Business Practice Address: | 1540 Lake Lansing Rd Suite 107 Lansing, MI - 489123756 |
| Business Phone Number: | 5179133800 |
| Business Fax Number: | 5179133901 |
| Mailing Address: | 53 Hunter Rd, UXBRIDGE |
| State: | MA |
| Postal Code: | 015691153 |
| Phone Number: | 5087790357 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2005 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 4301073351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |