Dr. Michael F Koszalka JR.
Gynecologist - Maternal & Fetal Medicine
333 N 1st St Ste 150
Boise
, Idaho 83702-6135
Dr. Michael F Koszalka JR.
Gynecologist - Maternal & Fetal Medicine
333 N 1st St Ste 150
Boise
, Idaho 83702-6135
(208) 381-2222
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael F Koszalka JR.
- 190 E Bannock St
- Boise, ID
- Zip : 83712
- Phone : (208) 381-2222
Second Address
- Dr. Michael F Koszalka JR.
- 333 N 1st St Ste 150
- Boise, ID
- Zip : 83702-6135
- Phone : (208) 381-3088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | M8692 | ID |
National Provider Identifier
| NPI | 1134171952 |
|---|---|
| Provider Name | Dr. Michael F Koszalka JR. |
| First Address | Boise, ID 83712 |
| Second Address | Boise, ID 83702-6135 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 16/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.