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Individual

DR. JULIAN MACKAY-WIGGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9897 HAGEN RANCH RD, BOYNTON BEACH, FL 33472-7400
(561) 364-7774
(561) 364-7775
Mailing address
9897 HAGEN RANCH RD, BOYNTON BEACH, FL 33472-7400
(561) 364-7774
(561) 364-7775

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
224157-1
NY
207N00000X
Dermatology Physician
Primary
ME132842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02329555
NY
Enumeration date
09/25/2006
Last updated
03/17/2018
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