Organization
PEARLMED DPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WAGENAAR MD (OWNER)
(406) 707-1111
Entity
Organization
Contact information
Practice address
2795 ENTERPRISE AVE STE 5, BILLINGS, MT 59102-7479
(406) 702-1111
(406) 321-5029
Mailing address
2795 ENTERPRISE AVE STE 5, BILLINGS, MT 59102-7479
(406) 702-1111
(406) 321-5029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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