Daniel Jack Meulenberg M.D.

NPI 1043217599 - Family Medicine - 207Q00000X

NPI Details
NPI 1043217599
Gender Male
Enumeration Date 06/30/2005
Last Updated 03/03/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
606 N 3RD AVE STE 101
SANDPOINT ID, 83864-1594, US
Phone (208) 263-1435
Fax (208) 263-7812
Business Location
604 SUPERIOR ST
SANDPOINT ID, 83864-1623, US
Phone (208) 263-5527
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M5882
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According to our database, Daniel Jack Meulenberg M.D. NPI is 1043217599, taxonomy code is 207Q00000X and license number is M5882, license state is located at Idaho. Daniel Jack Meulenberg M.D. physically located at 606 N 3rd Ave Ste 101, Sandpoint ID, 83864-1594. NPI Number Daniel Jack Meulenberg M.D. has the Individual type.

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1043217599 NPI number is provided on an as is basis without warranty of any kind. 1043217599 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Jack Meulenberg M.D. are for informational purposes only.