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Individual

DR. MICHAEL R WINDAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
421 MAIN ST, POLSON, MT 59860
(406) 883-1343
(406) 883-3550
Mailing address
421 MAIN ST, POLSON, MT 59860
(406) 883-1343
(406) 883-3550

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1946
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110006
MT
Enumeration date
11/28/2006
Last updated
02/05/2014
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