Individual
AMY MICHELE ENTERLINE CONSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
62 TILLYFOUR RD, BOZEMAN, MT 59718-9666
(406) 414-0020
(888) 289-4505
Mailing address
2975 MAX AVE # 1187, BOZEMAN, MT 59718-7143
(406) 414-0020
(888) 289-4505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-87487
MT
Other
Enumeration date
06/06/2014
Last updated
03/06/2024
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