Individual
DR. COLLEEN MARIE WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016021068
MO
208M00000X
Hospitalist Physician
2016021068
MO
Other
Enumeration date
05/03/2013
Last updated
01/03/2020
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