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General NPI Number Information
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NPI Number | 1972593754
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Entity Type | Individual
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Provider Name | MICHAEL J NOUD MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 310 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3129
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Country | US
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Telephone | 406-752-5111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24823
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City | SEATTLE
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State | WA
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Zip | 98124-0823
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Country | US
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Telephone | 425-407-1500
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Fax | 425-407-1112
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD069096L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MED-PHYS-LIC-10277
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License Number State | MT
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