Healthcare Provider Details

I. General information

NPI: 1083608434
Provider Name (Legal Business Name): CHRISTOPHER WILHELMSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 11/27/2023
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 FREMONT ST STE 308A
BATTLE CREEK MI
49017-3391
US

IV. Provider business mailing address

363 FREMONT ST SUITE 208
BATTLE CREEK MI
49017-3389
US

V. Phone/Fax

Practice location:
  • Phone: 269-245-8310
  • Fax: 269-245-8345
Mailing address:
  • Phone: 269-245-8310
  • Fax: 269-245-8345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberCW066619
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberCW066619
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberCW066619
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: