Gunsel Fatima Avci-Wolf, D.O.

Individual provider Active NPI Family Medicine Physician · Commerce TWP, MI

NPI 1003970799 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1003970799
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
GA012197 (MI)
Practice address
1990 Union Lake Rd
Suite 100
Commerce TWP, MI 48382-2202
Phone
(248) 363-7109
Fax
(248) 363-7211
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
GA012197MIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA012197 MI Yes

Addresses

Primary practice location

1990 Union Lake Rd
Suite 100
Commerce TWP, MI 48382-2202

Mailing address

1990 Union Lake Rd
Suite 100
Commerce TWP, MI 48382-2202
Phone (248) 363-7109

Other providers in Commerce TWP, MI

All providers in Commerce TWP, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.