Individual provider · Type 1 NPI
Jorgen C. Wibskov, HIS
Specialist · Farmington, MO
NPI number
1730208646
Active
Practice location
310 Potosi St Ste A
Farmington, MO 63640-2436
Fax (573) 756-9089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1040 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1730208646
Jorgen C. Wibskov, HIS's National Provider Identifier is 1730208646, issued on Mar 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmington, MO. The record was last updated on Jul 8, 2007.