Individual
VIRGINIA L WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 MAIN ST, PLAIN, WI 53577-9668
(608) 546-4211
Mailing address
825 MAIN ST, PLAIN, WI 53577-9668
(608) 546-4211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
712
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245206986
—
WI
Enumeration date
02/23/2006
Last updated
12/21/2020
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