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NPI Code Detail

MEDICARE: DR. SUE A FESSLER MD

MEDICARE: DR. SUE A FESSLER 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician90139MT
2207RP1001XPulmonary Disease Physician90139MT

General Provider Information

NPI Number : 1174512636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUE A FESSLER MD
Provider Business Mailing Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Provider Business Practice Location Address
First Line : 350 HERITAGE WAY STE 2100
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3167
Country : US
Telephone Number : 406-257-8992
Fax Number : 406-257-8996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 03/04/2021

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Directions to “ DR. SUE A FESSLER MD” Practice Location

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