Organization
MONTANA STILLWATER HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY KAY HASEMAN (OWNER)
(406) 272-3746
Entity
Organization
Contact information
Practice address
2875 TINA AVE STE 102AB, MISSOULA, MT 59808-1581
(406) 272-3746
(406) 303-3308
Mailing address
PO BOX 17521, MISSOULA, MT 59808-7521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
06/05/2024
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