Individual
MICHAEL M DEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3234
(208) 463-3044
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7025
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002461
BLUE SHIELD
ID
01
—
110142007
RAILROAD MEDICARE
ID
01
—
70250
BLUE CROSS
ID
05
—
804107900
—
ID
01
—
806356100
HEALTHY CONNECTIONS
ID
Enumeration date
10/28/2005
Last updated
07/23/2021
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