Docks, Gary Wolk

Docks, Gary Wolk is an sole proprietor health care provider with primary practice located at 18810 Beverly Rd , Beverly Hills MI 48025-4014. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Docks, Gary Wolk can be contacted via phone (248) 646-5209.

Contact Information

Primary practice address
18810 Beverly Rd Beverly Hills MI 48025-4014
Phone: (248) 646-5209
Fax: (248) 203-6927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000785 Michigan

Profile Details

NPI number 1558370197
LBN Legal business name Docks, Gary Wolk
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Oct 28th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558370197 NPPES
Michigan MEDICAID 4848024

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