Organization
JEFFREY K. WINGATE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K WINGATE (PHYSICIAN)
(586) 755-9800
Entity
Organization
Contact information
Practice address
13355 EAST TEN MILE ROAD, MEDICAL OFFICE BUILDING EAST STE. 115, WARREN, MI 48089
(586) 755-9800
(586) 755-9870
Mailing address
13355 EAST TEN MILE ROAD, MEDICAL OFFICE BUILDING EAST STE. 115, WARREN, MI 48089
(586) 755-9800
(586) 755-9870
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
15519
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3248
—
SC
Enumeration date
07/10/2006
Last updated
08/22/2020
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