Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 12478 | MT |
NPI | 1093718389 |
---|---|
Provider Name | Dr. Drew L. Kirshner |
First Address | Kalispell, MT 59901-3158 |
Second Address | Kalispell, MT 59901-3158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 26/06/2020 |