Search › Idaho › 363A00000X
Cody Wissenbach, P.A
NPI 1841468410 · on the registry since 2008
Practice
- Address
- 999 N Curtis Rd Ste 415
Boise, ID 83706 - Phone
- (208) 302-2600
- Fax
- (208) 302-2625
- Organisation at this address
- Mednow, Inc
Walgreen Co
D Peter Reedy Md Pa
Saint Alphonsus Physician Services Inc
Intermountain Eye And Laser Centers PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Additional practice sites
- 6770 S Mccarran Blvd, Reno, NV
- 3841 W Charleston Blvd Ste 203, Las Vegas, NV
- 1411 4th Ave, Seattle, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- NV, ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-14
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