Gregory Wickern, M.D.

Individual Active
NPI 1972578672
Allergy Physician Twin Falls, ID

Gregory Wickern, M.D. holds NPI 1972578672, with a primary taxonomy of allergy physician and a practice location in Twin Falls, ID. The number was issued on February 17, 2006 and the NPPES record was last updated on November 17, 2020. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Allergy Physician Primary 207KA0200X M-10495 (ID)
Allergy & Immunology Physician 207K00000X 13018 (NV)
Allergy & Immunology Physician 207K00000X 6578473-1205 (UT)

Practice location

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Phone: (208) 734-6091

Local context

Active NPPES records list 4 providers with allergy physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 10 in Idaho and 1,651 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Gregory Mathew Wickern
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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