Individual
JEFFREY K WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(248) 228-0054
Mailing address
1221 BOWERS ST UNIT 2710, BIRMINGHAM, MI 48012-7106
(248) 228-0054
(248) 566-3316
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
036128599
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
04-42522
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301088960
MI
Other
Enumeration date
01/06/2006
Last updated
06/06/2025
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