MEDICARE: MICHAEL J BALDECK, DO, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0-185	ID

General Provider Information

NPI Number	:	1508808049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J BALDECK, DO, PLLC

Provider Business Mailing Address
First Line	:	307 SAINT JOHNS WAY
Second Line	:	SUITE 4
City	:	LEWISTON
State	:	ID
Zip	:	83501-2435
Country	:	US
Telephone Number	:	208-798-4818
Fax Number	:	208-798-8711

Provider Business Practice Location Address
First Line	:	307 SAINT JOHNS WAY
Second Line	:	SUITE 4
City	:	LEWISTON
State	:	ID
Zip	:	83501-2435
Country	:	US
Telephone Number	:	208-798-4818
Fax Number	:	208-798-8711

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. MICHAEL J BALDECK
Credential	:	DO
Telephone Number	:	208-798-4814

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1699762823 — NINA J WOODS M.ED.,ED.,S.
Practice Location Address:

307 SAINT JOHNS WAY , SUITE 3
LEWISTON, ID
83501-2435

Practice Phone: 208-750-1802
Practice Fax: 208-750-1803

1801831151 — DANIEL BRODIE MCINTOSH MD
Practice Location Address:

307 SAINT JOHNS WAY , STE #9
LEWISTON, ID
83501-2435

Practice Phone: 208-746-7055
Practice Fax: 208-746-4899

1912929928 — JAMES B FISHER MD
Practice Location Address:

307 SAINT JOHNS WAY , SUITE 17
LEWISTON, ID
83501-2435

Practice Phone: 208-746-9644
Practice Fax: 208-746-0782

1841306339 — DR. GARY MARVIN THORNE MD, FACS
Practice Location Address:

307 SAINT JOHNS WAY , SUITE 5
LEWISTON, ID
83501-2435

Practice Phone: 208-746-0133
Practice Fax: 208-746-0134

1801902515 — DR. CARLOS WILLIAM BOND D. O
Practice Location Address:

307 SAINT JOHNS WAY , SUITE 7
LEWISTON, ID
83501-2435

Practice Phone: 208-798-7388
Practice Fax: 208-798-8151

1124135165 — CONFLUENCE SLEEP & PULMONARY LLC
Practice Location Address:

307 SAINT JOHNS WAY , SUITE 16
LEWISTON, ID
83501-2435

Practice Phone: 208-746-8600
Practice Fax: 208-746-8604

Directions to “MICHAEL J BALDECK, DO, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.