Individual
DR. MICHELLE MAE FRESHWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3875 E OVERLAND RD STE 204, MERIDIAN, ID 83642-9048
(208) 343-3652
(208) 367-9188
Mailing address
3875 E OVERLAND RD STE 204, MERIDIAN, ID 83642-9048
(208) 343-3652
(208) 367-9188
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
M-8944
ID
208D00000X
General Practice Physician
Primary
M-8944
ID
Other
Enumeration date
07/18/2007
Last updated
09/18/2025
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