MEDICARE: DR. DAVID A WILKES DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301009000	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0D10057	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1356492763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A WILKES DC

Provider Business Mailing Address
First Line	:	3484 CHICAGO DR
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1428
Country	:	US
Telephone Number	:	616-662-3933
Fax Number	:

Provider Business Practice Location Address
First Line	:	3484 CHICAGO DR
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-1428
Country	:	US
Telephone Number	:	616-662-3933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	01/26/2011

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Directions to “ DR. DAVID A WILKES DC” Practice Location

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