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Individual

MICHAEL AUSTIN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3205 S RUSSELL ST, MISSOULA, MT 59801-8536
(406) 721-4906
Mailing address
2522 COMSTOCK CT, MISSOULA, MT 59808-9059
(406) 544-4090

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7056
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0094146
MT
Enumeration date
06/28/2006
Last updated
07/08/2007
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