Individual
DR. DANIEL M FRUECHTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ADVANCED IMAGING, 2803 SOUTH AVE W, MISSOULA, MT 59804
(406) 327-3950
Mailing address
10450 MILLER CREEK RD, MISSOULA, MT 59803-9731
(406) 721-4906
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8531
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013056
—
MT
Enumeration date
06/08/2006
Last updated
07/08/2007
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