Individual
MICHAEL JOSEPH SHEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5294
NE
207X00000X
Orthopaedic Surgery Physician
Primary
M-11063
ID
Other
Enumeration date
04/25/2007
Last updated
04/21/2021
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