JOSHUA WIGDAHL

DERBY, KS
NPI1457729097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-01821)
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
-- JOSHUA WIGDAHL PA-C
606 N MULBERRY RD
DERBY, KS 67037-3532
Phone number: 316-788-3787
Mailing Address
-- JOSHUA WIGDAHL PA-C
2414 E MESITA ST
WICHITA, KS 67211-3738
Phone number: 316-200-2080
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