Whalio Doctors

NPI 1528099074

Bruce Devin Mikesell, MD

Practitioner Emergency Medicine Physician Ronan, MT

Practice location

Address
107 6th Ave SW, Ronan, MT 59864-2634
Phone
(406) 676-4441
Fax
(406) 676-0835
Mailing address
20700 Edith Peak Rd, Huson, MT 59846-9603

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 7984 (MT)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 7984 (MT)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 7984 (MT)

Registry record

NPI
1528099074
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jul 2006
Record last updated
18 Dec 2014

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.