Individual
W MICHAEL MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W. FORT ST., # 111, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Mailing address
500 W. FORT ST., # 111, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00035287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115863
LABOR AND INDUSTRY
WA
01
—
100010270
RAILROAD MEDICARE
—
05
—
8209629
—
WA
01
—
MD00035287
STATE LICENSE NUMBER
WA
Enumeration date
06/09/2006
Last updated
06/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us