Michael J Baldeck, Do, Pllc

NPI #1508808049 in Lewiston, Idaho

Provider Information

NPI Number: 1508808049
Entity Type: Organization
Organization Name: Michael J Baldeck, Do, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 307 SAINT JOHNS WAY
Address 2: SUITE 4
City: Lewiston
State: Idaho
ZIP Code: 83501-2435
Phone: (208) 798-4818

Authorized Official

Name: DR. MICHAEL J BALDECK, DO
Title: OWNER/PHYSICIAN
Phone: (208) 798-4814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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