Individual
MICHAEL DAVID SCHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30544 HIGHWAY 200 STE 102, PONDERAY, ID 83852
(208) 265-9817
Mailing address
30544 HIGHWAY 200 STE 102, PONDERAY, ID 83852-5005
(208) 265-9817
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
O0947
ID
207XP3100X
Pediatric Orthopaedic Surgery Physician
OP60637340
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
O0947
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OP60637340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807920700
—
ID
05
—
8502734
—
WA
Enumeration date
09/12/2011
Last updated
09/10/2025
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