Gregory Mathew Wickern in Twin Falls - Allergy
Gregory Mathew Wickern - NPI 1972578672
Gregory Mathew Wickern is a Allergy in Twin Falls, Idaho. Gregory Mathew Wickern practices all healthcare services and medical treatments related to Allergy. The NPI Number for Gregory Mathew Wickern is 1972578672. The last update date is 2020-11-17.
Gregory Mathew Wickern's current location address is 800 Falls Ave, Twin Falls, Idaho. You can contact this provider via phone number 2087346091 and fax number 2087344654. The mailing address for Gregory Mathew Wickern is 800 Falls Ave, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Mathew Wickern |
|---|---|
| Address | 800 Falls Ave, Twin Falls, Idaho |
| Phone Number | 2087346091 |
| Fax Number | 2087344654 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972578672 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2020-11-17 |
Provider Mailing Address Detail
| Address | 800 Falls Ave |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833013366 |
| Phone Number | 2087346091 |
| Fax Number | 2087344654 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | M-10495 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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What is the Gregory Mathew Wickern's unique identification number?
The Gregory Mathew Wickern has been assigned the NPI (National Provider Identifier) Number 1972578672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Gregory Mathew Wickern is physically located?
The Gregory Mathew Wickern is physically situated at the following address: 800 Falls Ave, Twin Falls, ID, 833013366.
What is the Gregory Mathew Wickern's area of specialization and corresponding taxonomy classification?
The Gregory Mathew Wickern's specialty field is Allergy, and it falls under the taxonomy code 207Ka0200X, which categorizes healthcare providers based on their specialties.
What is Gregory Mathew Wickern's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory Mathew Wickern is Allergy, and the taxonomy code that categorizes this field of expertise is 207Ka0200X.
On what date did the Gregory Mathew Wickern receive its 1972578672 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Mathew Wickern was assigned its 1972578672 by the Centers for Medicare & Medicaid Services on 2006-02-17.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL