Individual
DR. GREGORY CHARLES WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301065499
MI
207T00000X
Neurological Surgery Physician
A8159
CA
207T00000X
Neurological Surgery Physician
MD00039713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A816590
—
CA
01
—
0C97618
BCBSM
MI
05
—
1710961347
—
MI
05
—
4843879
—
MI
Enumeration date
12/06/2005
Last updated
11/27/2023
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