Individual
DR. MICHAEL GEORGE BOHARSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 WINDWARD WAY, SUITE 203, KALISPELL, MT 59901-2619
(406) 752-5553
(406) 752-5530
Mailing address
430 WINDWARD WAY, SUITE 203, KALISPELL, MT 59901-2623
(406) 752-5553
(406) 752-5530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5266
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51571
—
MT
Enumeration date
01/06/2006
Last updated
07/09/2007
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