Individual
DANIEL RICHARD WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5360
(734) 647-9342
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007984
MI
Other
Enumeration date
02/06/2017
Last updated
03/15/2017
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