| Doctor Name: | DR. MICHAEL W MONOHAN |
| NPI Number: | 1942298054 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | O-0392 |
| Business Practice Address: | 1220 E. Polston Ave Post Falls, ID - 83854 |
| Business Phone Number: | 2087731577 |
| Business Fax Number: | 2087738585 |
| Mailing Address: | 1220 E Polston Ave, POST FALLS |
| State: | ID |
| Postal Code: | 83854 |
| Phone Number: | 2087731577 |
| Fax Number: | 2087738585 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 04/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | O-0392 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |