Individual
DR. JAMES P WIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 272-7564
(804) 272-9325
Mailing address
1475 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 272-7564
(804) 272-9325
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101025435
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6053564
—
VA
Enumeration date
07/19/2005
Last updated
06/06/2014
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