Individual
BRIAN KEITH WEISGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 34TH AVE NE, GREAT FALLS, MT 59404-1272
(719) 930-6424
Mailing address
1020 34TH AVE NE, GREAT FALLS, MT 59404-1272
(719) 930-6424
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN-259984
MT
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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