Individual
DR. MICHAEL G MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2426 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814-4961
(208) 819-2183
Mailing address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(866) 805-0886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7043
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003814500
—
ID
Enumeration date
06/14/2005
Last updated
02/12/2025
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