Individual
DR. TRENT DONALD MIHALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 GOLDEN VALLEY CIR, BILLINGS, MT 59102
(406) 238-6290
(406) 238-6280
Mailing address
1315 GOLDEN VALLEY CIR, BILLINGS, MT 59102-6746
(406) 238-6290
(406) 238-6280
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
25955
KY
2085R0001X
Radiation Oncology Physician
Primary
7435
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089335
—
KY
01
—
77095
BLUE CROSS
ID
05
—
807866400
—
ID
05
—
8496622
—
WA
01
—
B6134
BLUE CROSS
WA
01
—
B6135
BLUE CROSS
WA
Enumeration date
09/16/2006
Last updated
10/25/2019
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