Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Occupational Medicine Group

Organization Physical Medicine & Rehabilitation Physician · NPI 1366908949

Idaho Occupational Medicine Group is a Physical Medicine & Rehabilitation Physician in Coeur D Alene, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1839 N Government Way
Coeur D Alene, ID 83814-3454
Phone: (208) 765-0156
Fax: (208) 292-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1366908949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ludwig — Owner · (208) 765-0156
Other names Coeur D Alene Spine And Sport
NPI enumeratedFebruary 19, 2019
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address1839 N Government Way, Coeur D Alene, ID 83814-3454

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