Individual
MICHAEL L OGLESBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1110 E POLSTON AVE STE 1, POST FALLS, ID 83854-6139
(208) 773-1311
(208) 773-1644
Mailing address
1110 E POLSTON AVE STE 1, POST FALLS, ID 83854-6139
(208) 773-1311
(208) 773-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0631
ID
Other
Enumeration date
09/13/2006
Last updated
03/07/2023
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