Individual
MICHELLE M MARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
Mailing address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
188
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288054
—
MT
Enumeration date
10/06/2006
Last updated
01/12/2016
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