Individual
WESLEY RIGGS BAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Mailing address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27520
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061614
—
IA
01
—
152975
IOWA HEALTH SOLUTIONS
IA
01
—
19555
WELLMARK BLUE CROSS
IA
01
—
IA0128
JOHN DEERE HEALTH
IA
Enumeration date
08/12/2005
Last updated
08/01/2007
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