MICHAEL D SEVERSON

MERIDIAN, ID
NPI1205827904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0000X 
(Licence: ID  M8793)
Additional Taxonomies207L00000X Anesthesiology
(Licence: ID  M8793)
Enumeration Date2005-11-02
Last Update Date2024-01-18
Business Address
Dr. MICHAEL D SEVERSON MD
520 S EAGLE RD SUITE 1222
MERIDIAN, ID 83642-6351
Phone number: 208-947-2266
Mailing Address
Dr. MICHAEL D SEVERSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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