Individual
DR. JONATHAN WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-2252
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60829859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235405192
—
WA
Enumeration date
03/26/2012
Last updated
11/09/2021
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