Individual
DR. MICHAEL E. ESTESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1471 SHORELINE DR, SUITE 119, BOISE, ID 83702-6879
(208) 345-2630
(208) 345-6504
Mailing address
1471 SHORELINE DR, SUITE 119, BOISE, ID 83702-6879
(208) 345-2630
(208) 345-6504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-3173
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003612
BLUE SHIELD
ID
01
—
DG399
BLUE CROSS
ID
Enumeration date
04/12/2007
Last updated
07/08/2007
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