Wollak, Marcus

Wollak, Marcus is an individual health care provider with primary practice located at 930 Blue Star Hwy , South Haven MI 49090-7758. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wollak, Marcus can be contacted via phone (269) 637-1115.

Contact Information

Primary practice address
930 Blue Star Hwy South Haven MI 49090-7758
Phone: (269) 637-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601010639 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1417572827
LBN Legal business name Wollak, Marcus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2020
Last updated Oct 27th, 2021 - about 5 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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