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Organization
GLACIER SURGICAL INC.
Active
Organization
GLACIER SURGICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GOODMAN (AUTHORIZED OFFICIAL)
(406) 253-3886
Entity
Organization
Contact information
Practice address
155 TIMBERWOLF PKWY, KALISPELL, MT 59901-1218
(417) 889-2040
Mailing address
155 TIMBERWOLF PKWY, KALISPELL, MT 59901-1218
(406) 257-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
10/23/2024
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