DR. Mark David Wigod, MD

NPI #1427086164 in Meridian, Idaho

Provider Information

NPI Number
1427086164
Entity Type
Individual
Name
DR. Mark David Wigod, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Credential
MD
Enumeration Date
Jun 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3630 E LOUISE DRIVE
State
Idaho
ZIP Code
83642
Phone
(208) 377-9515

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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