MICHAEL ROBERT NIERAETH

BOISE, ID
NPI1487904280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-993)
Enumeration Date2012-09-19
Last Update Date2019-03-25
Business Address
Mr. MICHAEL ROBERT NIERAETH PA
8854 W EMERALD ST STE 102
BOISE, ID 83704
Phone number: 208-323-4747
Mailing Address
Mr. MICHAEL ROBERT NIERAETH PA
8854 W EMERALD ST STE 102
BOISE, ID 83704-4845
Phone number: 208-323-4747
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