Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL D SEVERSON, MD
ActiveDR. MICHAEL D SEVERSON, MD is a Vascular Surgery healthcare provider located in MERIDIAN, Idaho. NPI 1205827904 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MERIDIAN, ID
Registration Details
- NPI Number
- 1205827904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.790294189481 yrs)
- Last Updated
- Jan 18, 2024
- Licenses
-
M8793 (ID)M8793 (ID)
Practice Information
- Address
-
520 S EAGLE RDSUITE 1222MERIDIAN, ID, 836426351Browse ID providers · Browse ZIP 83642
- Phone
- 2089472266
- Fax
- 2089472267
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.