Individual
DR. MICHAEL MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16730 N MARKET PLACE BLVD, NAMPA, ID 83687-7909
(208) 466-4600
(208) 461-9236
Mailing address
16730 N MARKETPLACE BLVD, NAMPA, ID 83687-7909
(208) 466-4600
(208) 461-9236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001783A
IN
111N00000X
Chiropractor
Primary
CHIA-1525
ID
Other
Enumeration date
07/14/2005
Last updated
08/06/2020
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