Individual
WHITNEY KAY HASEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2875 TINA AVE STE 102, MISSOULA, MT 59808-1582
(406) 272-3746
(406) 303-3308
Mailing address
CPG INTERNAL MEDICINE, 2825 FORT MISSOULA ROAD, BUILDING 1, SUITE 217, MISSOULA, MT 59804
(406) 327-3850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10094279-1205
UT
207R00000X
Internal Medicine Physician
10094279-8905
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MED-PHYS-LIC-89204
MT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2015
Last updated
01/17/2023
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