Individual
GREGORY MICHAEL WOLGAMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
3614 MERIDIAN ST, SUITE 100, BELLINGHAM, WA 98225-1748
(360) 734-2800
(360) 734-3818
Mailing address
3560 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-1731
(360) 734-2800
(360) 734-3818
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
XXXXXXXX
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
XXXXXXXX
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3866WO
REGENCE BLUE SHIELD
WA
01
—
MD00043141
MEDICAL LICENSE
WA
05
—
MD5170W
—
AK
01
—
MEDS5895
MEDICAL LICENSE
AK
Enumeration date
05/18/2006
Last updated
05/11/2022
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