Individual
MADELINE GRACE MUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 WESTWOOD DR STE I, HAMILTON, MT 59840-2345
(406) 363-1100
(406) 375-4884
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-85698
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010772
—
MT
05
—
1720431729
—
ID
Enumeration date
07/14/2016
Last updated
11/12/2024
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