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NPI Code Detail

MEDICARE: DR. ALEXANDER MACLEOD WILGUS MD

MEDICARE: DR. ALEXANDER MACLEOD WILGUS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101052277VA
2208M00000XHospitalist Physician0101052277VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194728089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER MACLEOD WILGUS MD
Provider Business Mailing Address
First Line : PO BOX 11646
Second Line :
City : LYNCHBURG
State : VA
Zip : 24506-1646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1901 TATE SPRINGS RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1109
Country : US
Telephone Number : 434-200-5895
Fax Number : 434-200-7529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/27/2023

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