Jacob John Wingerter

NPI #1043501976 in Austin, Texas

Provider Information

NPI Number: 1043501976
Entity Type: Individual
Name: Jacob John Wingerter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Apr 26, 2011
Last Updated: Apr 26, 2011

Practice Location

Address: 4900 MUELLER BLVD STE 3S.066C
City: Austin
State: Texas
ZIP Code: 78723-3079
Phone: (406) 868-9735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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