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Individual

NIALL PATRICK MADIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9801
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000091986
BLUE CROSS
MT
05
0152347
MT
01
P00274185
RAILROAD MEDICARE
Enumeration date
05/27/2006
Last updated
12/15/2011
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