Organization
MARCUS WIGUTOW, M.D., INC.
Active
Organization
MARCUS WIGUTOW, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS WIGUTOW M.D. (PRESIDENT)
(219) 769-5900
Entity
Organization
Contact information
Practice address
9120 CONNECTICUT DR, SUITE E, MERRILLVILLE, IN 46410-7172
(219) 769-5900
(219) 769-5987
Mailing address
9120 CONNECTICUT DR., SUITE E, MERRILLVILLE, IN 46410-7172
(219) 759-5900
(219) 769-5987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01022387B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095335
BLUE SHIELD
IN
01
—
03166600
MAGELLAN
—
05
—
1320159050
—
IL
01
—
137824
COMPSYCH
—
01
—
91106545
BLUE SHIELD
IL
Enumeration date
11/16/2007
Last updated
11/19/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up