Individual
ANDREW R. TEGEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2835 FORT MISSOULA RD BLDG 3, MISSOULA, MT 59804-7423
(406) 721-5600
(406) 329-7192
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41724
MT
Other
Enumeration date
05/04/2011
Last updated
06/28/2021
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