Provider Demographics
NPI:1083608434
Name:WILHELMSON, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:WILHELMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 FREMONT ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3389
Mailing Address - Country:US
Mailing Address - Phone:269-245-8310
Mailing Address - Fax:269-245-8345
Practice Address - Street 1:363 FREMONT ST STE 308A
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3391
Practice Address - Country:US
Practice Address - Phone:269-245-8310
Practice Address - Fax:269-245-8345
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICW0666192086S0102X, 2086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI020A310890OtherBCBS GROUP
MI1730017OtherPHYSICIAN HEALTH PLAN PIN
MI383689447056OtherCOMMUNITY CHOICE MICHIGAN
MI0131080OtherBLUECARE NETWORK
MI0201310802OtherBCBS INDIVIDUAL PIN
MI4589737Medicaid
MI7854563OtherAETNA PIN
MI383689447056OtherCOMMUNITY CHOICE MICHIGAN
MIH20316Medicare UPIN
MI7854563OtherAETNA PIN
MI00119150Medicare PIN