person
Ted B. Laine, MD
Specialist in Missoula, Montana
NPI 1043294572

Ted B. Laine is a Specialist based in Missoula, MT. Ted B. Laine practices in Missoula, MT and has the professional credentials of MD. The NPI Number for Ted B. Laine is 1043294572 and holds a License No. 4247 (Montana).

The current practice location address for Ted B. Laine is 2825 Fort Missoula Rd, Missoula, MT and can be reached out via phone at 406-721-5566 and via fax at 406-728-1868.

Location: 2825 Fort Missoula Rd, Missoula, MT, 59804-7420
person
Provider Profile Details
NPI Number
1043294572
Provider Name
Ted B. Laine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2825 Fort Missoula Rd, Missoula, MT, 59804-7420
Phone Number
406-721-5566
Fax Number
406-728-1868
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005-6472 05 MT
1383801 05 WA
12790 01 MT BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2825 Fort Missoula Rd
City
State
Zip
59804-7420
Phone Number
406-721-5566
Fax Number
406-728-1868
person
Provider Business Mailing Address Details
Address
2825 Fort Missoula Rd
City
State
Zip
59804-7420
Phone Number
406-721-5566
Fax Number
406-728-1868
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
4247 (Montana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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