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Individual

MICHAEL C MEYTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2003 LINCOLN WAY, CAEUR D'ALEN, ID 83814
(208) 666-2000
(208) 666-3963
Mailing address
2003 LINCOLN WAY, CAEUR D'ALEN, ID 83814
(208) 666-2000
(208) 666-3963

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TL3767
ID

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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