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Individual

DR. MICHAEL DAVID WIGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
463 OHIO PIKE STE 201, CINCINNATI, OH 45255-3744
(513) 354-3700
(513) 528-1209
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7650
(513) 354-7651

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2014-20543
NC
207X00000X
Orthopaedic Surgery Physician
MT 198307
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
35.127967
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163292
OH
05
7100400800
KY
Enumeration date
04/29/2011
Last updated
03/18/2021
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