Individual
JOHN MICHAEL THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 NORTHWEST BLVD STE 200, COEUR D ALENE, ID 83814-2973
(208) 225-8642
(208) 795-8079
Mailing address
250 NORTHWEST BLVD STE 200, COEUR D ALENE, ID 83814-2973
(208) 215-1568
(208) 625-4878
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M15152
ID
Other
Enumeration date
04/24/2013
Last updated
04/12/2023
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