Individual
MR. MICHAEL ADAM CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5615
(406) 329-2791
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-87594
MT
363A00000X
Physician Assistant
—
MA
Other
Enumeration date
09/25/2008
Last updated
05/14/2020
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