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NPI Code Detail

MEDICARE: MICHAEL J NOUD MD

MEDICARE: MICHAEL J NOUD 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
1207L00000XAnesthesiology PhysicianMD069096LPA
2207L00000XAnesthesiology PhysicianMED-PHYS-LIC-10277MT

General Provider Information

NPI Number : 1972593754
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J NOUD MD
Provider Business Mailing Address
First Line : PO BOX 24823
Second Line :
City : SEATTLE
State : WA
Zip : 98124-0823
Country : US
Telephone Number : 425-407-1500
Fax Number : 425-407-1112
Provider Business Practice Location Address
First Line : 310 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3129
Country : US
Telephone Number : 406-752-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 08/07/2013

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