Mr. Curtis G Wickre
Nephrologist
500 W Broadway St 4th Floor
Missoula
, Montana 59802-4008
Mr. Curtis G Wickre
Nephrologist
500 W Broadway St 4th Floor
Missoula
, Montana 59802-4008
(406) 543-7271
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Mr. Curtis G Wickre
- Po Box 12
- Liberty Lake, WA
- Zip : 99019-0012
- Phone : (406) 543-7271
Second Address
- Mr. Curtis G Wickre
- 500 W Broadway St 4th Floor
- Missoula, MT
- Zip : 59802-4008
- Phone : (406) 327-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD00019812 | WA |
National Provider Identifier
| NPI | 1033102116 |
|---|---|
| Provider Name | Mr. Curtis G Wickre |
| First Address | Liberty Lake, WA 99019-0012 |
| Second Address | Missoula, MT 59802-4008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 01/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8342602 | (05) | WA |
| A07432 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.