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Individual
JOHN CHARLES WIGAL II
Active
Individual
JOHN CHARLES WIGAL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34.014390
OH
2080S0010X
Pediatric Sports Medicine Physician
Primary
34.014390
OH
Other
Enumeration date
04/12/2017
Last updated
07/25/2022
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