Individual provider · Type 1 NPI
Gregory Mathew Wickern, MD
Allergy Physician · Twin Falls, ID
NPI number
1972578672
Active
Practice location
1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Fax (208) 734-4654
Mailing address
800 Falls Ave, Suite #2
Twin Falls, ID 83301-3366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 13018 (NV) |
| Allergy & Immunology Physician | 207K00000X | 6578473-1205 (UT) |
| Allergy Physician Primary | 207KA0200X | M-10495 (ID) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
4 other providers at this address
- Asthma & Allergy of IdahoNurse Practitioner Twin Falls, ID NPI 1265635171
- Asthma & Allergy of Idaho PLLCAllergy Physician Twin Falls, ID NPI 1427138734
- Clark Joseph Wyatt, NP-CFamily Nurse Practitioner Twin Falls, ID NPI 1215448246
- Shayne C. Stokes, MDAllergy & Immunology Physician Twin Falls, ID NPI 1225007644
Other allergy physician providers in Twin Falls
About NPI 1972578672
Gregory Mathew Wickern, MD's National Provider Identifier is 1972578672, issued on Feb 17, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 17, 2020.