Individual
RUSSELL CHARLES MOTSCHENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1601 2ND AVE N, SUITE 650, GREAT FALLS, MT 59401-3259
(406) 788-6123
Mailing address
PO BOX 2151, GREAT FALLS, MT 59403-2151
(406) 788-6123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22956
MT
Other
Enumeration date
07/26/2012
Last updated
01/03/2013
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