person
Dr. Mark David Wigod, MD
Plastic and Reconstructive Surgery Physician in Meridian, Idaho
NPI 1427086164

Mark David Wigod is a Plastic and Reconstructive Surgery Physician based in Meridian, ID and is specialized in Plastic and Reconstructive Surgery. Mark David Wigod practices in Meridian, ID and has the professional credentials of MD. The NPI Number for Mark David Wigod is 1427086164 and holds a License No. M8189 (Idaho).

The current practice location address for Mark David Wigod is 3630 E Louise Drive, Meridian, ID and can be reached out via phone at 208-377-9515 and via fax at 208-377-9517.

Location: 3630 E Louise Drive, Meridian, ID, 83642-5179
person
Provider Profile Details
NPI Number
1427086164
Provider Name
Mark David Wigod
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3630 E Louise Drive, Meridian, ID, 83642-5179
Phone Number
208-377-9515
Fax Number
208-377-9517
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3630 E Louise Drive
City
State
Zip
83642
Phone Number
208-377-9515
Fax Number
208-377-9517
person
Provider Business Mailing Address Details
Address
3630 E Louise Drive
City
State
Zip
83642
Phone Number
208-377-9515
Fax Number
208-377-9517
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
M8189 (Idaho)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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