Dr. GREGORY MATHEW WICKERN M.D.
Individual Provider (NPI-1)
Active
Allergy & Immunology, Allergy
Provider Information
- NPI Number
1972578672- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1502 LOCUST ST N STE 600, TWIN FALLS, ID, 833014164
- Phone
- (208) 734-6091
- Fax
- (208) 734-4654
Specialties & Taxonomies
Allergy & Immunology
License: NV #13018
Allergy & Immunology
License: UT #6578473-1205
Allergy & Immunology, Allergy
Primary License: ID #M-10495