Individual
MARK HERTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 15TH ST S, SUITE C, GREAT FALLS, MT 59405-2459
(406) 771-1222
(406) 771-1225
Mailing address
222 15TH ST S, SUITE C, GREAT FALLS, MT 59405
(406) 771-1222
(406) 771-1225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
537
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164398
—
MT
05
—
0164407
—
MT
Enumeration date
08/16/2006
Last updated
07/09/2007
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