Individual
DR. MICHAEL J BALDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
222 SOUTHWAY AVE STE 2A, LEWISTON, ID 83501-2703
(208) 798-4818
(208) 798-8711
Mailing address
415 6TH STREET, ATTN: PHYSICIAN SERVICES, LEWISTON, ID 83501-2434
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0-185
ID
Other
Enumeration date
05/26/2006
Last updated
12/26/2024
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