Individual
DOUGLAS WIGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3271 RACQUET CLUB DR, TRAVERSE CITY, MI 49684-4708
(231) 735-8006
(231) 735-8023
Mailing address
3271 RACQUET CLUB DR, TRAVERSE CITY, MI 49684-4708
(231) 735-8006
(231) 735-8023
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007426
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100506
—
MI
Enumeration date
12/21/2005
Last updated
09/30/2020
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