Most Relevant Information
Provider Data
| NPI Number: | 1003245044 |
| Provider Name: | MICHAEL EUGENE WIGLE N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP-1346A |
Most Important Dates
| Enumeration Date: | 11/08/2013 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
925 E POLSTON AVE
POST FALLS
ID
838549049
Practice Location Phone/Fax
| Phone: | 2086180787 |
| Fax: | 2086180796 |
Provider Mailing Location
925 E POLSTON AVE
POST FALLS
ID
838549049
Provider Mailing Phone/Fax
| Phone: | 2086180787 |
| Fax: | 2086180796 |