Individual
DR. CARL WALTER WILBERG
Active
Individual
DR. CARL WALTER WILBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101006968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180E300140
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
180E300150
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
180E310290
BCBS OF MICHIGAN
MI
05
—
4921518
—
MI
05
—
4921536
—
MI
05
—
4921563
—
MI
01
—
P00349763
RAILROAD MEDICARE
MI
Enumeration date
01/15/2006
Last updated
07/19/2010
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