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Individual

JOHN G VAN GILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8387
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
(406) 731-8318

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10372
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063682
MT
Enumeration date
10/25/2006
Last updated
01/22/2025
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