Field of Dreams PC

NPI #1447244140 in Bozeman, Montana

Provider Information

NPI Number: 1447244140
Entity Type: Organization
Organization Name: Field of Dreams PC
Primary Specialty: Specialist
Enumeration Date: Sep 8, 2005
Last Updated: Oct 27, 2008

Practice Location

Address: 1006 W MAIN ST
City: Bozeman
State: Montana
ZIP Code: 59715-3219
Phone: (406) 586-8711

Authorized Official

Name: DR. JOHN MICHAEL WISE, MD
Title: DIRECTOR
Phone: (406) 586-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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