Individual
TORBJORN INGVAR JORETEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
160 HERITAGE WAY, KALISPELL, MT 59901
(406) 755-7785
(406) 755-7857
Mailing address
555 MISSION DRIVE, CONDON, MT 59826
(406) 754-6453
(406) 754-6453
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10735
MT
207RC0000X
Cardiovascular Disease Physician
A052530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148869
—
MT
01
—
91836
BLUE CROSS BLUE SHIELD
MT
Enumeration date
02/17/2006
Last updated
07/08/2007
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