Organization
FPM PLLC
Active
Other names
Snake River Infusion & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KENNETH WUCINICH PA-C, MPH (PRESIDENT/PHYSICIAN ASSISTANT)
(208) 420-1830
Entity
Organization
Contact information
Practice address
585 WASHINGTON ST N, TWIN FALLS, ID 83301-3802
(208) 420-1830
Mailing address
955 OAKRIDGE RD, KIMBERLY, ID 83341-1818
(208) 420-1830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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