institution
Mark D. Wigod, Md, Pa
Plastic and Reconstructive Surgery Physician in Meridian, Idaho
NPI 1679751770

Mark D. Wigod, Md, Pa is a Plastic and Reconstructive Surgery Physician based in Meridian, ID and is specialized in Plastic and Reconstructive Surgery. Mark D. Wigod, Md, Pa practices in Meridian, ID. The NPI Number for Mark D. Wigod, Md, Pa is 1679751770 and holds a License No. M8189 (Idaho).

The current practice location address for Mark D. Wigod, Md, Pa is 3630 E Louise Dr, Meridian, ID and can be reached out via phone at 208-377-9515.

Location: 3630 E Louise Dr, Meridian, ID, 83642-7975
institution
Provider Profile Details
NPI Number
1679751770
Provider Name
Mark D. Wigod, Md, Pa
Credential
Provider Entity Type
Organization
Address
3630 E Louise Dr, Meridian, ID, 83642-7975
Phone Number
208-377-9515
Fax Number
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3630 E Louise Dr
City
State
Zip
83642-7975
Phone Number
208-377-9515
Fax Number
person
Provider Business Mailing Address Details
Address
3630 E Louise Dr
City
State
Zip
83642-7975
Phone Number
208-377-9515
Fax Number
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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