Individual
DR. ANDREW DAVID MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4424 E FLAMINGO, AVE STE 300, NAMPA, ID 83687
(208) 302-0200
(208) 302-0055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-0200
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A54428
CA
207RI0011X
Interventional Cardiology Physician
Primary
M-14293
ID
207RI0011X
Interventional Cardiology Physician
MD159742
OR
Other
Enumeration date
05/19/2006
Last updated
08/07/2024
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