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Michael Gustavel, MD — NPI 1306842182, Boise, ID | NPI Central

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NPI 1306842182

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Michael Gustavel, MD

NPI 1306842182 · Sports Medicine (Orthopaedic Surgery) Physician · Boise, ID

Provider details

NPI number: 1306842182
Entity type: Individual
Primary specialty: Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: M8510 (ID)

Specialties & taxonomies

Sports Medicine (Orthopaedic Surgery) PhysicianPrimary207XX0005XLicense M8510 (ID)
Allopathic & Osteopathic Physicians

Practice location

1702 W Fairview Ave

Boise, ID 83702-5121

Phone: (208) 850-1641

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1188 W University Dr

Boise, ID 83706-3009

Additional practice locations (1)

1188 University Dr
Boise, ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514

Registry dates

Enumerated: 2005-06-24
Last updated: 2019-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.