Individual
FREDERICK M ILGENFRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 WESTWOOD DR, SUITE C, HAMILTON, MT 59840-5318
(406) 363-4574
(406) 363-4569
Mailing address
1224 W MAIN ST, HAMILTON, MT 59840-2338
(406) 375-4823
(406) 375-4846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8776
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026384
—
MT
05
—
1861446379
—
ID
05
—
1861446379
—
MT
05
—
1861446379
—
WA
Enumeration date
05/20/2006
Last updated
11/05/2015
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