MICHAEL D SAMUELSON

BOISE, ID
NPI1528754280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-2245)
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
MICHAEL D SAMUELSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
Mailing Address
MICHAEL D SAMUELSON DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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