JOOST GAZENDAM

POLSON, MT
NPI1922434893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: MT  24162)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: MT  24162)
Enumeration Date2013-09-23
Last Update Date2013-09-23
Business Address
-- JOOST GAZENDAM MD
6 13TH AVE E
POLSON, MT 59860-5315
Phone number: 406-883-5680
Mailing Address
-- JOOST GAZENDAM MD
PO BOX 262
LIBERTY LAKE, WA 99019-0262
Phone number: 406-327-1918