SearchIdaho207Q00000X

Shawn Nowierski, MD

NPI 1437109089 · on the registry since 2006 · sole proprietor

Practice

Address
197 W State St
Eagle, ID 83616
Phone
(208) 938-9817
Organisation at this address
Eagle Oral Surgery And Dental Implant Center Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho