DR. Michael Pestotnik, M.D.

NPI #1093178154 in Boise, Idaho

Provider Information

NPI Number: 1093178154
Entity Type: Individual
Name: DR. Michael Pestotnik, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 5, 2016
Last Updated: Nov 11, 2021

Practice Location

Address: 500 WEST FORT ST
Address 2: #111R
City: Boise
State: Idaho
ZIP Code: 83702
Phone: (208) 422-1314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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