Individual
DEANN LAREE BIRNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
835 SPEEDWAY AVE, MISSOULA, MT 59802-5563
(406) 549-8011
Mailing address
835 SPEEDWAY AVE, MISSOULA, MT 59802-5563
(406) 549-8011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10149
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070669
—
MT
05
—
806816200
—
ID
Enumeration date
10/21/2005
Last updated
03/10/2015
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