Individual
JONATHAN PAUL SCHELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8565
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8565
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47522
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457612186
NPI
MT
01
—
47522
STATE LICENSE
MT
Enumeration date
05/29/2012
Last updated
04/03/2019
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