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NPI Code Detail

MEDICARE: DR. MICHAEL J FAY M.D.

MEDICARE: DR. MICHAEL J FAY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist6963MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831127828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J FAY M.D.
Provider Business Mailing Address
First Line : 621 3RD ST S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2604
Country : US
Telephone Number : 406-228-4331
Fax Number : 406-228-9539
Provider Business Practice Location Address
First Line : 621 3RD ST S
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2604
Country : US
Telephone Number : 406-228-4331
Fax Number : 406-228-9539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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