Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jorgen C Wibskov, HIS

Individual provider Specialist · NPI 1730208646

Mr. Jorgen C Wibskov, HIS is a Specialist in Farmington, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
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Practice location Address checks out

310 Potosi St Ste A
Farmington, MO 63640-2436
Phone: (573) 756-1919
Fax: (573) 756-9089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1040 (MO)

Record details

NPI number1730208646
Entity typeIndividual (Type 1)
GenderMale
Credentials HIS
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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