Individual
CHRISTINE ANN WIGGINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE DEPT OF, PEORIA, IL 61636
(309) 672-5582
Mailing address
221 NE GLEN OAK AVE DEPT OF, PEORIA, IL 61636-0001
(309) 672-5582
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0077712
MD
Other
Enumeration date
04/24/2011
Last updated
08/05/2018
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