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1053008367
MICHAEL STEPHEN COMISAC
COEUR D ALENE, ID
NPI
1053008367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-04-19
Business Address
MICHAEL STEPHEN COMISAC DO
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814-2527
Phone number: 757-672-2106
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Mailing Address
MICHAEL STEPHEN COMISAC DO
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-6000
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