Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORGEN C WIBSKOV, HIS
Active Sole ProprietorSpecialist · FARMINGTON, MO
Registration Details
- NPI Number
- 1730208646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.094455556113 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1040 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 POTOSI ST STE AFARMINGTON, MO, 636402436Browse MO providers · Browse ZIP 63640
- Phone
- 5737561919
- Fax
- 5737569089
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FARMINGTON, MO
| Name | Credential | NPI |
|---|---|---|
| TOM BURCHAM | M.D. | 1578837886 |
| BRITTANY MARIE BARTON | — | 1528521762 |
| SHERI LYNN KETCHERSIDE | — | 1710585716 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.