Individual
WILLIAM B WIGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1247 NE MEDICAL CENTER DR, BEND, OR 97701-3786
(541) 318-4249
Mailing address
1247 NE MEDICAL CENTER DR, BEND, OR 97701-3786
(541) 318-4249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26173
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195239
—
CO
05
—
028100
—
OR
Enumeration date
10/19/2005
Last updated
08/20/2012
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