Individual
MELISSA KLESCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 N RESERVE ST, SUITE Q, MISSOULA, MT 59808-1389
(406) 327-1850
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43243
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2010
Last updated
10/22/2015
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