IndividualActive
Michael Spackman, MD
NPI 1386887032 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Meridian, ID
Provider details
- NPI number
- 1386887032
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M11335 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
360 E Montvue Dr
Suite 100
Meridian, ID 83642
Phone: (208) 855-2900
Approximate (ZIP-level) locationGet directions
Mailing address
2835 N Tanglerose Pl
Eagle, ID 83616-5796
Registry dates
- Enumerated
- 2009-04-10
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.