Mark Michaud is a Family Medicine in Boise, Idaho. Mark Michaud practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Michaud is 1780621128. The last update date is 2010-02-10.
Mark Michaud's current location address is 1907 S Broadway Ave Ste 101, Boise, Idaho. You can contact this provider via phone number 2083451222 and fax number 2083451261. The mailing address for Mark Michaud is 1907 S Broadway Ave Ste 101, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Michaud |
|---|---|
| Address | 1907 S Broadway Ave Ste 101, Boise, Idaho |
| Phone Number | 2083451222 |
| Fax Number | 2083451261 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780621128 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
| Address | 1907 S Broadway Ave Ste 101 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837064201 |
| Phone Number | 2083451222 |
| Fax Number | 2083451261 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M8634 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806407800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Michaud by the Centers for Medicare & Medicaid Services?
The Mark Michaud has been issued the NPI (National Provider Identifier) 1780621128 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark Michaud?
The Mark Michaud is situated at 1907 S Broadway Ave Ste 101, in the city of Boise, state of ID, with the zip code 837064201.
What is Mark Michaud's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Michaud's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780621128 to Mark Michaud?
The Centers for Medicare & Medicaid Services assigned the 1780621128 to Mark Michaud on 2006-06-02.
When was the information pertaining to Mark Michaud most recently updated or revised?
The details related to Mark Michaud, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-10.