Individual
MR. GEORGE E WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12266 DEER RUN RD, MARION, IL 62959-8948
(618) 964-1223
Mailing address
12266 DEER RUN RD, MARION, IL 62959-8948
(618) 525-1649
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1075328/1932A
KY
Other
Enumeration date
08/09/2006
Last updated
05/19/2008
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