SearchIdaho164W00000X

Michael Deschene

NPI 1326464991 · on the registry since 2014

Practice

Address
641 E Wild Lilac St
Kuna, ID 83634
Phone
(208) 577-1556

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho