Individual
EVELYN MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
127 IDAHO ST, AMERICAN FALLS, ID 83211-1233
(208) 226-1750
Mailing address
PO BOX 774, AMERICAN FLS, ID 83211-0774
(208) 705-7173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
About Stedi
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