Individual
DR. MONIKA GERDA FEALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N. FIRST ST, SUITE 240, BOISE, ID 83702
(208) 338-8900
(208) 331-2418
Mailing address
333 N. FIRST ST, SUITE 240, BOISE, ID 83702
(208) 338-8900
(208) 331-2418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35079854F
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
M-10332
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386636
—
OH
05
—
808110100
—
ID
01
—
P00108848
RAILROAD MEDICARE
—
Enumeration date
06/17/2005
Last updated
09/02/2008
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