RONALD F MICIAK M.D.
Individual Provider (NPI-1)
Active
Hospitalist
Provider Information
- NPI Number
1235179052- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 801 POLE LINE RD W, TWIN FALLS, ID, 833015810
- Phone
- (208) 814-4100
- Fax
- (208) 814-4908
Specialties & Taxonomies
Internal Medicine
License: ID #M4130
Hospitalist
Primary License: ID #M4130