MICHAEL R DIBENEDETTO MD PLLC is a plastic and reconstructive surgery surgery in Ponderay, ID. The provider is a surgeon who specializes in plastic and reconstructive surgery. MICHAEL R DIBENEDETTO MD PLLC NPI is 1073757464. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As Seasons Plastic & Reconstructive Surgery.
The provider's business location address is:
30544 HIGHWAY 200 SUITE 102 PONDERAY, ID ZIP 83852-005 Phone: (208) 263-5900 Fax: (208) 263-1319
The provider's authorized official is Wendy S Brosnahan . The authorized official title is Office Manager and has the following contact phone number (208) 263-5900.
The enumeration date for this NPI number is 4/29/2009 and was last updated on 10/21/2009.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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