MICHAEL STEPHEN COMISAC

COEUR D ALENE, ID
NPI1053008367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-18
Last Update Date2023-04-19
Business Address
MICHAEL STEPHEN COMISAC DO
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814-2527
Phone number: 757-672-2106
Mailing Address
MICHAEL STEPHEN COMISAC DO
1919 LINCOLN WAY STE 315
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-6000