Individual
J MICHAEL CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WEST BROADWAY, MISSOULA, MT 59802-4008
(406) 327-1900
(406) 327-1927
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1918
(406) 329-2937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8009
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019019
—
MT
Enumeration date
05/20/2006
Last updated
05/03/2021
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