Individual
MICHAEL WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 SW ARCHER RD, NF/SG VETERANS HEALTH SYSTEM, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, NF/SG VETERANS HEALTH SYSTEM, GAINESVILLE, FL 32608-1135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
E-3505
AR
207W00000X
Ophthalmology Physician
Primary
ME114600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007651100
—
FL
05
—
148789001
—
AR
01
—
P00020611
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
04/18/2013
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