Whalio Doctors

NPI 1134171952

Michael F Koszalka, MD

Practitioner Maternal & Fetal Medicine Physician Boise, ID

Practice location

Address
333 N 1st St STE 150, Boise, ID 83702-6135
Phone
(208) 381-3088
Mailing address
190 E Bannock St, Boise, ID 83712

Registered specialties

Maternal & Fetal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207VM0101X Licence M8692 (ID)

Registry record

NPI
1134171952
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 May 2006
Record last updated
16 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.