Wiggins, Gregory Charles

Wiggins, Gregory Charles is an individual health care provider with primary practice located at 601 John St Suite M124, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wiggins, Gregory Charles can be contacted via phone (269) 341-7500.

Contact Information

Primary practice address
601 John St Suite M124 Kalamazoo MI 49007-5341
Phone: (269) 341-7500
Fax: (269) 341-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A8159 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301065499 Michigan
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD00039713 Washington

Profile Details

NPI number 1710961347
LBN Legal business name Wiggins, Gregory Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710961347 NPPES
Michigan Other 0C97618 BCBSM
Michigan MEDICAID 1710961347 BCBSM
Michigan MEDICAID 00A816590 BCBSM
Michigan MEDICAID 4843879 BCBSM

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