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Organization
L. WILLIAM D. NOWIERSKI, M.D. PA
Active
Organization
L. WILLIAM D. NOWIERSKI, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. WILLIAM D NOWIERSKI M.D. (OWNER/PHYSICIAN)
(208) 343-5910
Entity
Organization
Contact information
Practice address
100 WARM SPRINGS AVE, STE. A, BOISE, ID 83712-6243
(208) 343-5910
(208) 384-8562
Mailing address
100 WARM SPRINGS AVE, STE. A, BOISE, ID 83712-6243
(208) 343-5910
(208) 384-8562
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M4341
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4341-4
BLUE CROSS OF IDAHO
ID
Enumeration date
11/02/2007
Last updated
11/02/2007
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