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1093178154
MICHAEL PESTOTNIK
BOISE, ID
NPI
1093178154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 11029172-1205)
Enumeration Date
2016-04-05
Last Update Date
2021-11-11
Business Address
Dr. MICHAEL PESTOTNIK M.D.
500 WEST FORT ST #111R
BOISE, ID 83702
Phone number: 208-422-1314
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Mailing Address
Dr. MICHAEL PESTOTNIK M.D.
500 WEST FORT ST #111R
BOISE, ID 83702
Phone number: 208-422-1314
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