Individual provider · Type 1 NPI
Michael J. Gustavel, MD
Sports Medicine (Orthopaedic Surgery) Physician · Boise, ID
Practice location
1702 W Fairview Ave
Boise, ID 83702-5121
Mailing address
1188 W University Dr
Boise, ID 83706-3009
Other practice locations
- 1188 University Dr, Boise, ID 83706 · (208) 336-8250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician Primary | 207XX0005X | M8510 (ID) |
Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…
3 other providers at this address
Other sports medicine (orthopaedic surgery) physician providers in Boise
- Kirk J. Lewis, MDSports Medicine (Orthopaedic Surgery) Physician Boise, ID NPI 1033115803
- Jennifer Rawlings Miller, MDSports Medicine (Orthopaedic Surgery) Physician Boise, ID NPI 1245236983
- Nathan Lewis Grimm, MDSports Medicine (Orthopaedic Surgery) Physician Boise, ID NPI 1417376344
- Darin Jurgensmeier, MDSports Medicine (Orthopaedic Surgery) Physician Boise, ID NPI 1952537060
About NPI 1306842182
Michael J. Gustavel, MD's National Provider Identifier is 1306842182, issued on Jun 24, 2005. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Boise, ID. The record was last updated on Feb 28, 2019.