Healthcare Provider Details

I. General information

NPI: 1053384040
Provider Name (Legal Business Name): JOHN M FUHRMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 WESTWOOD DR STE C
HAMILTON MT
59840-5318
US

IV. Provider business mailing address

16483 HWY 83
BIGFORK MT
59911
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-2391
  • Fax: 406-375-0966
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4593
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: