Individual
SUSAN MELCHIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 LINCOLN WAY STE 110, COEUR D ALENE, ID 83814-2527
(208) 625-4515
(208) 625-4516
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5059
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-6934
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002789700
—
ID
01
—
P00450794
MEDICARE RAILROAD CARRIER
—
Enumeration date
06/09/2006
Last updated
07/24/2025
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