Ted B. Laine, M.D.

NPI #1043294572 in Missoula, Montana

Provider Information

NPI Number: 1043294572
Entity Type: Individual
Name: Ted B. Laine, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Nov 29, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2825 FORT MISSOULA RD
Address 2: STE 201
City: Missoula
State: Montana
ZIP Code: 59804-7420
Phone: (406) 721-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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