Organization
ROD WIGLE M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA WIGLE (SECRETARY)
(541) 388-4138
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE, 250, BEND, OR 97702-3236
(541) 388-0673
(541) 388-2619
Mailing address
1693 SW CHANDLER AVE, 250, BEND, OR 97702-3236
(541) 388-0673
(541) 388-2619
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD13088
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277913
—
OR
Enumeration date
03/19/2008
Last updated
03/19/2008
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