Individual
MICHAEL DUSBABEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 E BEST AVE, COEUR D ALENE, ID 83814-4878
(208) 665-3514
Mailing address
609 S DOLLAR ST, COEUR D ALENE, ID 83814-3828
(208) 755-6945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1145
ID
Other
Enumeration date
06/26/2007
Last updated
12/13/2019
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