Individual
MR. CARL FREEMAN WURSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,F.A.C.S.,F.I.C.S
Contact information
Practice address
2316 N COLE RD, STE. B, BOISE, ID 83704
(208) 345-6949
(208) 342-7008
Mailing address
2316 N COLE RD, STE. B, BOISE, ID 83704
(208) 345-6949
(208) 342-7008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M-4925
ID
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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