Individual
MICHAEL EUGENE WIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 618-0787
(208) 618-0796
Mailing address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 618-0787
(208) 618-0796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1346A
ID
Other
Enumeration date
11/08/2013
Last updated
07/21/2022
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