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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY MARCUS-STEPHEN WOHLFERT

Active Sole Proprietor

MR. TIMOTHY MARCUS-STEPHEN WOHLFERT is a Student (Health Education/Training) healthcare provider located in PORTLAND, Michigan. NPI 1912432915 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PORTLAND, MI

Registration Details

NPI Number
1912432915
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2017 (9.3335988974007 yrs)
Last Updated
Apr 27, 2017
Sole Proprietor
Yes

Practice Information

Address
6798 MAYNARD RD
PORTLAND, MI, 488759688
Browse MI providers · Browse ZIP 48875
Phone
6169028748
Primary Specialty
Student (Health Education/Training)
390200000X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.