| NPI | 1013035666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN H JANCZEWSKI Surgeon Practice Administrator 406-541-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 8688) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |