Individual
MICHAEL ANTHONY SCHWALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8300
(406) 752-3542
Mailing address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8300
(406) 752-3542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11725
MT
208000000X
Pediatrics Physician
4180
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92168
BLUE CROSS BLUE SHIELD OF MT
MT
05
—
MD0688
—
AK
Enumeration date
09/06/2006
Last updated
11/27/2023
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