Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MED-PHYS-LIC-62983 | MT |
NPI | 1205152469 |
---|---|
Provider Name | Dr. William Frederick Dresen III |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 07/02/2022 |