| Michael J Baldeck, Do, Pllc | |
|
307 Saint Johns Way Suite 4 Lewiston ID 83501-2435 | |
| (208) 798-4818 | |
| (208) 798-8711 |
| Full Name | Michael J Baldeck, Do, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 307 Saint Johns Way, Lewiston, Idaho |
| Authorized Official Name and Position | Michael J Baldeck (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2087984814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Baldeck, Do, Pllc 307 Saint Johns Way Suite 4 Lewiston ID 83501-2435 Ph: (208) 798-4818 | Michael J Baldeck, Do, Pllc 307 Saint Johns Way Suite 4 Lewiston ID 83501-2435 Ph: (208) 798-4818 |
| NPI Number | 1508808049 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508808049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0-185 (Idaho) | Primary |
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