Individual
DR. SHAWN M WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TWO HURLEY PLAZA, SUITE 204, FLINT, MI 48503
(810) 262-6743
(810) 235-1210
Mailing address
TWO HURLEY PLAZA, SUITE 204, FLINT, MI 48503
(810) 262-6743
(810) 235-1210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301072235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4455439
—
MI
01
—
70-0-B5-1070-0
BCBSM GROUP
MI
01
—
M32030078
MEDICARE GROUP OM 32030
MI
Enumeration date
01/08/2007
Last updated
08/06/2013
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