Individual
JONATHAN DONALD WOOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
801 N CEDAR RD, MASON, MI 48854-9572
(517) 676-3117
(517) 676-0704
Mailing address
801 N CEDAR RD, ROUTE #7, MASON, MI 48854-9572
(517) 676-3117
(517) 676-0704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC35079
BCBS
—
Enumeration date
11/18/2005
Last updated
03/02/2015
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