Individual
DR. CHARLES J WILMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 CAPITAL AVE SW, SUITE 302, BATTLE CREEK, MI 49015-4185
(269) 979-6333
(269) 979-6335
Mailing address
2845 CAPITAL AVE SW, SUITE 302, BATTLE CREEK, MI 49015-4185
(269) 979-6333
(269) 979-6335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CW405106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101300231
BLUE CROSS BLUE SHIELD MI
MI
05
—
1813876
—
MI
Enumeration date
10/06/2006
Last updated
11/27/2023
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