Individual
MICHELLE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 E BROADWAY ST, SUITE 101, HELENA, MT 59601-8049
(406) 447-2885
Mailing address
2525 E BROADWAY ST, SUITE 101, HELENA, MT 59601-8049
(406) 447-2885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10615
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144075
—
MT
Enumeration date
11/03/2006
Last updated
01/27/2012
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