MR. Michael Kenneth Wucinich, PA-C is a medical physician assistant in Twin Falls, ID with 11 years of experience. MR. Michael Kenneth Wucinich, PA-C NPI is 1407223274. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
775 POLE LINE RD W STE 302
TWIN FALLS, ID
ZIP 83301-823
Phone: (208) 814-8725
The NPI 1407223274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/28/2015 and was last updated on 11/19/2015.