# FPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Snake River Infusion & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518813245
- **Authorized official:** MR. MICHAEL KENNETH WUCINICH PA-C, MPH (PRESIDENT/PHYSICIAN ASSISTANT)
- **Authorized official phone:** (208) 420-1830

## Contact information

- **Practice address:** 585 WASHINGTON ST N, TWIN FALLS, ID 83301-3802
- **Practice address phone:** (208) 420-1830
- **Mailing address:** 955 OAKRIDGE RD, KIMBERLY, ID 83341-1818
- **Mailing address phone:** (208) 420-1830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2026
- **Last updated:** 03/05/2026