MICHAEL J GUSTAVEL

BOISE, ID
NPI1306842182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: ID  M8510)
Enumeration Date2005-06-24
Last Update Date2019-02-28
Business Address
DR. MICHAEL J GUSTAVEL MD
1702 W FAIRVIEW AVE
BOISE, ID 83702-5121
Phone number: 208-850-1641
Mailing Address
DR. MICHAEL J GUSTAVEL MD
1188 W UNIVERSITY DR
BOISE, ID 83706-3009
Phone number: 208-336-8250
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