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Mr. Michael Kenneth Wucinich, PA-C
Medical Physician Assistant in Twin Falls, Idaho
NPI 1407223274

Michael Kenneth Wucinich is a Medical Physician Assistant based in Kimberly, ID and is specialized in Medical. Michael Kenneth Wucinich practices in Twin Falls, ID and has the professional credentials of PA-C. The NPI Number for Michael Kenneth Wucinich is 1407223274 and holds a License No. 1274 (Idaho).

The current practice location address for Michael Kenneth Wucinich is 775 Pole Line Rd W Ste 302, Twin Falls, ID and can be reached out via phone at 208-814-8725.

Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID, 83341-5524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407223274
Provider Name
Michael Kenneth Wucinich
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
775 Pole Line Rd W Ste 302, Twin Falls, ID, 83341-5524
Phone Number
208-814-8725
Fax Number
Provider Enumeration Date
08/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
775 Pole Line Rd W Ste 302
City
Twin Falls
State
Idaho
Zip
83301-5823
Phone Number
208-814-8725
Fax Number
person
Provider Business Mailing Address Details
Address
775 Pole Line Rd W Ste 302
City
Twin Falls
State
Idaho
Zip
83301-5823
Phone Number
208-814-8725
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1274 (Idaho)
Definition
Definition to come...
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