MEDICARE: DR. MICHELLE K HOWARD 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
1	207Q00000X	Family Medicine Physician	10133	MT

General Provider Information

NPI Number	:	1265585608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE K HOWARD M.D.

Provider Business Mailing Address
First Line	:	118 E 7TH ST
Second Line	:
City	:	ANACONDA
State	:	MT
Zip	:	59711-2900
Country	:	US
Telephone Number	:	406-533-9154
Fax Number	:	406-496-3030

Provider Business Practice Location Address
First Line	:	600 MAIN ST
Second Line	:
City	:	DEER LODGE
State	:	MT
Zip	:	59722-1440
Country	:	US
Telephone Number	:	406-846-7770
Fax Number	:	406-846-7771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	05/01/2019

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