# MONTANA WOUND MANAGEMENT PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881741122
- **Authorized official:** MIKE A. JOHNSON M.D. (PHYSICIAN.OWNER)
- **Authorized official phone:** (406) 466-3399

## Contact information

- **Practice address:** 500 15TH AVE S, GREAT FALLS, MT 59405-4324
- **Practice address phone:** (406) 455-2680
- **Practice address fax:** (406) 455-2685
- **Mailing address:** PO BOX 1140, CHOTEAU, MT 59422-1140
- **Mailing address phone:** (406) 466-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 02/17/2015