Individual
DR. THOMAS RICHARD WIGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8905 W LINCOLN AVE, STE 505, WEST ALLIS, WI 53227-2468
(414) 329-5647
Mailing address
8905 W LINCOLN AVE, STE 505, WEST ALLIS, WI 53227-2468
(414) 329-5647
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
34447
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
34447
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000138N
HUMANA
—
05
—
31944700
—
WI
Enumeration date
05/16/2006
Last updated
07/24/2017
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