| Doctor Name: | DR. KENNETH WOLF |
| NPI Number: | 1083741367 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301052877 |
| Business Practice Address: | 1990 Union Lake Rd Ste 200 Commerce Township, MI - 483822200 |
| Business Phone Number: | 2483639413 |
| Business Fax Number: | |
| Mailing Address: | 1990 Union Lake Rd Ste 200, COMMERCE TOWNSHIP |
| State: | MI |
| Postal Code: | 483822200 |
| Phone Number: | 2483639413 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 4301052877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |