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Individual

MICHAEL ALLEN KOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
500 W BROADWAY ST STE 320, MISSOULA, MT 59802-4031
(406) 329-5615
Mailing address
500 W BROADWAY ST STE 320, MISSOULA, MT 59802-4031

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32953
MT

Other

Enumeration date
10/15/2015
Last updated
10/15/2015
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