Organization
DR J GENERAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN H JANCZEWSKI MD (SURGEON PRACTICE ADMINISTRATOR)
(406) 541-2570
Entity
Organization
Contact information
Practice address
2835 FORT MISSOULA RD STE 306, MISSOULA, MT 59804-7424
(406) 541-2570
(406) 541-2573
Mailing address
2835 FORT MISSOULA ROAD STE 306, MISSOULA, MT 59804
(406) 541-2570
(406) 541-2573
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8688
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062169
—
MT
Enumeration date
03/26/2007
Last updated
08/22/2020
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