Healthcare Provider Details

I. General information

NPI: 1417080763
Provider Name (Legal Business Name): WOLFGANG PETER MIGGIANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HOSPITAL DR
MCPHERSON KS
67460-2326
US

IV. Provider business mailing address

PO BOX 1227
MCPHERSON KS
67460-1227
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-2250
  • Fax: 620-241-4342
Mailing address:
  • Phone: 620-241-2251
  • Fax: 620-241-2139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.132010
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0427097
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0427097
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036.150120
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC3929
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: