Individual
MRS. KATIE E WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 HOSPITAL WAY LOGAN HEALTH WHITEFISH, WHITEFISH, MT 59937-7849
(406) 863-3500
(989) 837-9285
Mailing address
1600 HOSPITAL WAY LOGAN HEALTH WHITEFISH, WHITEFISH, MT 59937-7849
(406) 863-3581
(989) 837-9285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601005012
MI
363AM0700X
Medical Physician Assistant
Primary
86255
MT
Other
Enumeration date
08/21/2007
Last updated
03/14/2022
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