Organization
MICHAEL J BALDECK, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BALDECK DO (OWNER/PHYSICIAN)
(208) 798-4814
Entity
Organization
Contact information
Practice address
307 SAINT JOHNS WAY, SUITE 4, LEWISTON, ID 83501-2435
(208) 798-4818
(208) 798-8711
Mailing address
307 SAINT JOHNS WAY, SUITE 4, LEWISTON, ID 83501-2435
(208) 798-4818
(208) 798-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0-185
ID
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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