MICHELLE MAE FRESHWATER

BOISE, ID
NPI1851591879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: ID  M-8944)
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
Dr. MICHELLE MAE FRESHWATER M.D.
115 W MAIN ST SUITE 101
BOISE, ID 83702-7302
Phone number: 208-343-3652
Mailing Address
Dr. MICHELLE MAE FRESHWATER M.D.
115 W MAIN ST SUITE 101
BOISE, ID 83702-7302
Phone number: 208-343-3652
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