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Individual

GREGORY D PISK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
178 2ND AVE EN, KALISPELL, MT 59901
(406) 257-5011
(406) 755-5750
Mailing address
178 2ND AVE EN, KALISPELL, MT 59901
(406) 257-5011
(406) 755-5750

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
587
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000164101
MT
01
000042280
BLUE CROSS
MT
05
0162331
MT
05
0163812
MT
01
350052535
RAILROAD RETIREMENT MEDICARE
MT
Enumeration date
09/27/2006
Last updated
12/13/2011
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