Individual
DR. BRETT GORDON MILDENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
473 CAYUSE TRL, CORVALLIS, MT 59828-9259
(406) 363-2873
Mailing address
PO BOX 1707, HAMILTON, MT 59840-1707
(406) 363-2873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MT 521
MT
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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