Provider Demographics
NPI:1174735468
Name:WESSINGER, JAMES BALDWIN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BALDWIN
Last Name:WESSINGER
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 1:4277 OKEMOS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864
Mailing Address - Country:US
Mailing Address - Phone:517-349-3050
Mailing Address - Fax:517-349-1780
Practice Address - Street 1:4277 OKEMOS RD
Practice Address - Street 2:STE 100
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864
Practice Address - Country:US
Practice Address - Phone:517-349-3050
Practice Address - Fax:517-349-1780
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL780759207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery