Wigod, Mark David
Wigod, Mark David is an sole proprietor health care provider with primary practice located at 3630 E Louise Drive , Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wigod, Mark David can be contacted via phone (208) 377-9515.Contact Information
Primary practice address
3630 E Louise Drive
Meridian ID 83642
Phone: (208) 377-9515
Fax: (208) 377-9517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M8189 | Idaho |
Profile Details
| NPI number | 1427086164 |
|---|---|
| LBN Legal business name | Wigod, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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