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Individual

MICHAEL T WINGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Mailing address
145 HOSPITAL AVE, SUITE 313, DU BOIS, PA 15801-1462
(814) 375-4000
(814) 375-4011

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD446948
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02458299
NY
05
100887161
PA
Enumeration date
08/30/2005
Last updated
05/15/2017
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