Individual
DR. GUITO WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1755 KRESKY AVE., CENTRALIA, WA 98531
(360) 669-0098
(360) 669-0121
Mailing address
1755 KRESKY AVE. BOX #16, CENTRALIA, WA 98531
(360) 736-1961
(360) 736-5839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00048810
WA
261QP2300X
Primary Care Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013550987
—
WA
Enumeration date
07/17/2006
Last updated
08/17/2023
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