| Meridian Adult Medicine, Pllc | |
|
520 S Eagle Rd Suite 1221 Meridian ID 83642-6351 | |
| (208) 884-3770 | |
| (208) 884-5602 |
| Full Name | Meridian Adult Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 S Eagle Rd, Meridian, Idaho |
| Authorized Official Name and Position | Louis Michael Schlickman (OWNER) |
| Authorized Official Contact | 2088843770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Adult Medicine, Pllc 520 S Eagle Rd Suite 1221 Meridian ID 83642-6351 Ph: (208) 884-3770 | Meridian Adult Medicine, Pllc 520 S Eagle Rd Suite 1221 Meridian ID 83642-6351 Ph: (208) 884-3770 |
| NPI Number | 1619921202 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619921202 | NPI | - | NPPES |
| 8J810 | Other | ID | BLUE CROSS GROUP |
| DC8105 | Other | ID | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M7522 (Idaho) | Primary |
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