Organization
WIGLEY SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WIGLEY IV DPM (OWNER)
(305) 895-9528
Entity
Organization
Contact information
Practice address
1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4717
(305) 895-9528
(786) 332-3242
Mailing address
1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4717
(305) 895-9528
(786) 332-3242
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
06/13/2019
Last updated
05/11/2023
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