Individual
MICHAEL DAN WINGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3556 MARKET PL W STE 109, UNIVERSITY PLACE, WA 98466-4339
(253) 215-1095
(253) 215-1123
Mailing address
3556 MARKET PL W STE 109, UNIVERSITY PLACE, WA 98466-4339
(253) 215-1095
(253) 215-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00028466
WA
207Q00000X
Family Medicine Physician
Primary
MD00028466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302697
L&I AND CRIME VICTIMS
WA
05
—
1089457
—
WA
05
—
1760595664
—
WA
Enumeration date
08/16/2006
Last updated
02/12/2026
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