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Organization
PLENTYWOOD CLINIC, PC
Active
Organization
PLENTYWOOD CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY S NIKOLAISEN (OFFICE MANAGER)
(406) 765-1501
Entity
Organization
Contact information
Practice address
448 W LAUREL AVE, PLENTYWOOD, MT 59254-1526
(406) 765-1501
(406) 765-1506
Mailing address
PO BOX 217, PLENTYWOOD, MT 59254-0217
(406) 765-1501
(406) 765-1506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
10/09/2007
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