Provider Demographics
NPI:1972790525
Name:WILKIN, AARON DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DOUGLAS
Last Name:WILKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-1608
Mailing Address - Country:US
Mailing Address - Phone:231-237-0665
Mailing Address - Fax:231-237-0672
Practice Address - Street 1:1302 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1608
Practice Address - Country:US
Practice Address - Phone:231-237-0665
Practice Address - Fax:231-237-0672
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011030111N00000X
MI2301009381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor