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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK MICHAUD, MD

Active

MARK MICHAUD, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1780621128 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1780621128
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2006 (20.177813393212 yrs)
Last Updated
Feb 10, 2010
License
M8634 (ID)

Practice Information

Address
1907 S BROADWAY AVE STE 101
BOISE, ID, 837064201
Browse ID providers · Browse ZIP 83706
Phone
2083451222
Fax
2083451261
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOISE, ID

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.