MICHAEL JOHN HADERLIE

CHUBBUCK, ID
NPI1700083813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: ID  M-10858)
Enumeration Date2007-07-02
Last Update Date2022-12-08
Business Address
MICHAEL JOHN HADERLIE MD
4511 ZEBE AVE
CHUBBUCK, ID 83202-4707
Phone number: 208-904-4780
Mailing Address
MICHAEL JOHN HADERLIE MD
4511 ZEBE AVE
CHUBBUCK, ID 83202-4707
Phone number: 208-904-4780
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