Individual
DR. CRAIG LOUIS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
26 S MAIN, BOX 279, CEDAR SPRINGS, MI 49319
(616) 696-2650
(616) 696-2650
Mailing address
1272 10 MILE RD, SPARTA, MI 49345
(616) 887-8967
(616) 696-2650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350045875
RAILROAD MEDICARE #
—
01
—
950D150030
BCBS PIN#
—
01
—
CW004937
BCBS LICENSE #
—
Enumeration date
10/25/2006
Last updated
10/13/2010
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