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Contact Information

MICHAEL G MELENDEZ, MD
2789 E SPYGLASS CT
COEUR D'ALENE, ID83815
 Phone: 208-610-0041
 Fax: 208-777-1313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL G MELENDEZ · (Male)

NPI # 1013080787
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-3755
  • UT License # 160913-1205
  • WA Medicaid 8111379
Hospital affiliation(s)
  • BENEWAH COMMUNITY HOSPITAL - (Critical Access)
    229 SOUTH 7TH STREET
    ST MARIES, ID 83861
  • BOUNDARY COMMUNITY HOSPITAL - (Critical Access)
    6640 KANIKSU STREET
    BONNERS FERRY, ID 83805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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