IndividualActive
Jacob Wendling, D.O.
NPI 1861788937 · Gastroenterology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1861788937
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 0-1292 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3200 Channing Way Ste 205
Idaho Falls, ID 83404-7546
Phone: (208) 535-4580
Fax: (208) 535-4520
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277381
Atlanta, GA 30384-7381
Registry dates
- Enumerated
- 2011-06-27
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.