Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY MATHEW WICKERN, M.D.
ActiveDR. GREGORY MATHEW WICKERN, M.D. is a Allergy healthcare provider located in TWIN FALLS, Idaho. NPI 1972578672 is currently active in the NPPES registry. Verify at CMS.
Allergy · TWIN FALLS, ID
Registration Details
- NPI Number
- 1972578672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2006 (20.486505959044 yrs)
- Last Updated
- Nov 17, 2020
- Licenses
-
13018 (NV)6578473-1205 (UT)M-10495 (ID)
Practice Information
- Address
-
1502 LOCUST ST N STE 600TWIN FALLS, ID, 833014164Browse ID providers · Browse ZIP 83301
- Phone
- 2087346091
- Fax
- 2087344654
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Allergy
Other Allergy Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY JOHN KADLEC | MD | 1306831045 |
| RICHARD EUGENE HENRY | MD | 1013904622 |
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.