Individual
DR. LARRY W SONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 HIGHLAND BLVD, SUITE 3360, BOZEMAN, MT 59715
(406) 587-4242
(406) 587-3507
Mailing address
931 HIGHLAND BLVD, SUITE 3360, BOZEMAN, MT 59715
(406) 587-4242
(406) 587-3507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6146
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00838
BCBS OF MONTANA
MT
05
—
0103415
—
MT
Enumeration date
07/24/2006
Last updated
07/08/2007
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