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

Michael D Samuelson, DO

Individual provider Family Medicine Physician · NPI 1528754280

Michael D Samuelson, DO is a Family Medicine Physician in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 E Elm St # 200, Caldwell, ID 83605-4857 — (208) 514-2528

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRO-2245 (ID)

Record details

NPI number1528754280
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023
Mailing address777 N Raymond St, Boise, ID 83704-9251

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