Individual
DR. MICHAEL F KOSZALKA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 1ST ST STE 150, BOISE, ID 83702-6135
(208) 381-3088
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M8692
ID
Other
Enumeration date
05/17/2006
Last updated
11/16/2011
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