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Individual

DR. MICHAEL W MONOHAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1220 E. POLSTON AVE, POST FALLS, ID 83854
(208) 773-1577
(208) 773-8585
Mailing address
1220 E POLSTON AVE, POST FALLS, ID 83854
(208) 773-1577
(208) 773-8585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0392
ID
208D00000X
General Practice Physician
O-0392
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807435000
ID
01
8932815
L AND I CRIME VICTIMS
Enumeration date
10/12/2005
Last updated
07/05/2023
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