Individual
BENJAMIN D GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50100
MT
Other
Enumeration date
07/23/2013
Last updated
06/15/2023
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