Individual
JOHN WAYNE HARLAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N ORANGE ST, SUITE 106, MISSOULA, MT 59802-2998
(406) 542-7300
(406) 542-0003
Mailing address
900 N ORANGE ST, SUITE 106, MISSOULA, MT 59802-2998
(406) 542-7300
(406) 542-0003
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4244
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037383
—
MT
Enumeration date
05/12/2006
Last updated
07/08/2007
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