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Individual

LOWELL WILLIAM MEDHUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP,PA-C

Contact information

Practice address
550 6TH AVE N, WOLF POINT, MT 59201-0729
(406) 653-1641
(406) 653-3728
Mailing address
PO BOX 67, POPLAR, MT 59255-0067
(406) 768-3491
(406) 768-3603

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner
Primary
RN19426
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9990118
MT
Enumeration date
01/08/2007
Last updated
01/17/2013
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