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Individual

MATTHEW T. ZEMACKE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
245 WINDWARD WAY STE 101, KALISPELL, MT 59901-3385
(406) 756-8488
Mailing address
160 HERITAGE WAY, SUITE 102, KALISPELL, MT 59901-3161
(406) 755-7785
(406) 755-7857

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
521
MT
363AM0700X
Medical Physician Assistant
MA051912
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900693
BCBS
MT
Enumeration date
07/03/2006
Last updated
11/27/2023
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