Individual
GEORGE EDWARD WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3400
(360) 782-3450
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3300
(360) 782-3689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025064
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080013521
RAILROAD MEDICARE
—
05
—
1039593
—
WA
01
—
4282421
AETNA
—
01
—
75452
LABOR & INDUSTRIES
WA
01
—
8938869
CRIME VICTIMS COMP
WA
01
—
WI3862
REGENCE BLUESHIELD
—
Enumeration date
06/23/2006
Last updated
03/07/2023
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