Individual
MICHAEL LEROY INNISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255285
VA
208M00000X
Hospitalist Physician
Primary
111739
MT
Other
Enumeration date
01/25/2011
Last updated
04/08/2024
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