Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Hand Surgery
Enumerated
Dec 20, 2005
License(s)
59700 (TN), 2025-00170 (NC), 59700 (TN), 126749 (MT)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 350 HERITAGE WAY STE 1200 | Kalispell, MT 59901-3160 | 406-752-6784 |
| MAILING | PO BOX 5467 | Whitefish, MT 59937-5467 | 612-889-5488 |
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