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NPI Code Detail

MEDICARE: ADAM MICHAEL STENSETH MD

MEDICARE: ADAM MICHAEL STENSETH MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianMED-PHYS-LIC-41685MT

General Provider Information

NPI Number : 1831455526
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM MICHAEL STENSETH MD
Provider Business Mailing Address
First Line : 16 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-9036
Country : US
Telephone Number : 406-547-3321
Fax Number : 406-547-3589
Provider Business Practice Location Address
First Line : 16 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-9036
Country : US
Telephone Number : 406-547-3321
Fax Number : 406-547-3589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2012
Last Update Date : 08/26/2015

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