Individual
DR. MICHAEL WYNGARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102205754
VA
207L00000X
Anesthesiology Physician
Primary
0102205754
VA
207L00000X
Anesthesiology Physician
2024-03203
NC
Other
Enumeration date
03/13/2018
Last updated
07/16/2025
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