Individual
JENNIFER WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3730 RHONE CIR, SUITE 203, ANCHORAGE, AK 99508-5051
(907) 563-3515
(907) 563-3541
Mailing address
3730 RHONE CIR, SUITE 203, ANCHORAGE, AK 99508-5051
(907) 563-3515
(907) 563-3541
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4986
AK
207YP0228X
Pediatric Otolaryngology Physician
4986
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD09191
—
AK
Enumeration date
08/05/2006
Last updated
12/28/2012
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