Individual
MICHAEL SHAY FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
(406) 587-5548
Mailing address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 333-1933
(812) 333-3991
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2007-00547
NC
207X00000X
Orthopaedic Surgery Physician
35120
MT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35120
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201059840
—
IN
05
—
5917461
—
NC
05
—
NC1367
—
SC
Enumeration date
06/25/2007
Last updated
01/27/2015
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