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Individual

DR. JOSEPH MICHAEL GASSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2831 FORT MISSOULA RD, SUITE 146, MISSOULA, MT 59804-7419
(406) 327-3880
(406) 829-1865
Mailing address
2831 FORT MISSOULA RD, SUITE 146, MISSOULA, MT 59804-7419
(406) 327-3880
(406) 829-1865

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10424
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558413252
MT
Enumeration date
01/16/2007
Last updated
04/07/2011
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