Individual
DR. JOHN C WIGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 GORDONVILLE RD, SUITE 358, CAPE GIRARDEAU, MO 63703-5056
(573) 331-3155
(573) 331-5096
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2001001485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669584603
—
IL
05
—
205382807
—
MO
01
—
454668
HEALTHLINK
MO
01
—
604417
BCBS
MO
01
—
P00772953
RR MCR
MO
Enumeration date
08/31/2006
Last updated
02/16/2010
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