Organization
SHEPHERD OF HOPE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JOHN WIGTON D.O. (DIRECTOR)
(231) 946-7360
Entity
Organization
Contact information
Practice address
1028 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Mailing address
1028 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100506
—
MI
Enumeration date
12/16/2005
Last updated
07/21/2022
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