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Individual

DR. HAROLD BRUCE WIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
733 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6101
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48485
WI
207Q00000X
Family Medicine Physician
Primary
48485
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34692900
WI
Enumeration date
07/08/2006
Last updated
08/21/2009
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