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1528754280
MICHAEL D SAMUELSON
BOISE, ID
NPI
1528754280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO-2245)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
MICHAEL D SAMUELSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
MICHAEL D SAMUELSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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