NPI 1487339750

Wellspring Health and Aesthetics PLLC

Organisation Plastic Surgery Physician Missoula, MT

Practice location

Address: 500 W Broadway St Fl 4, Missoula, MT 59802-4008
Phone: (406) 370-1600
Fax: (406) 493-0333
Mailing address: 122 Daly Ave, Missoula, MT 59801-4212

Authorised official

Name: Stephanie Suprenant
Title: Plastic and Reconstructive Surgeon
Phone: (406) 370-1600

Registered specialties (4)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Montana →

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in Montana →

Registry record

NPI: 1487339750
Entity type: Organization
NPI issued: 15 Jun 2023
Record last updated: 6 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.