Individual
DAYLON DUANE WIGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN MSN, FNP-C
Contact information
Practice address
606 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
(605) 765-2461
Mailing address
15717 GARNETT DR, BULLARD, TX 75757-8134
(903) 360-1027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001557
SD
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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