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Organization

STILLWATER SURGICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARITY MICHALSON (MANAGER)
(406) 577-2346
Entity
Organization

Contact information

Practice address
203 ENTERPRISE BLVD., SUITE 102, BOZEMAN, MT 59718-5971
(406) 577-2346
Mailing address
203 ENTERPRISE BLVD., SUITE 202, BOZEMAN, MT 59718
(406) 577-2346

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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