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Individual

WALTER SPENCER WIGHTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
269 UNION ST, LYNN COMMUNITY HEALTH INC., LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Mailing address
269 UNION ST, LYNN COMMUNITY HEALTH, INC., LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73364
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1303775
MA
Enumeration date
10/24/2006
Last updated
11/12/2019
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