Individual
DR. JENNIFER IRENE WAKELAND BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
461 TOWN CENTER ROAD, MOORESVILLE, IN 46158
(317) 567-7954
(317) 834-9399
Mailing address
461 TOWN CENTER ROAD, MOORESVILLE, IN 46158
(317) 567-7954
(317) 834-9399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200198850
—
IN
Enumeration date
11/18/2005
Last updated
06/24/2014
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