person
Susan E Ivankovich, PA-C
Medical Physician Assistant in Columbus, Montana
NPI 1396799524

Susan E Ivankovich is a Medical Physician Assistant based in Columbus, MT and is specialized in Medical. Susan E Ivankovich practices in Columbus, MT and has the professional credentials of PA-C. The NPI Number for Susan E Ivankovich is 1396799524 and holds a License No. 35802 (Montana).

The current practice location address for Susan E Ivankovich is 710 11Th St N, Columbus, MT and can be reached out via phone at 406-322-1000 and via fax at 406-322-5207.

Location: 710 11Th St N, Columbus, MT, 59019-0959
person
Provider Profile Details
NPI Number
1396799524
Provider Name
Susan E Ivankovich
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
710 11Th St N, Columbus, MT, 59019-0959
Phone Number
406-322-1000
Fax Number
406-322-5207
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24323 01 NDBCBS
54A23AH 01 MNBCBS
institution
Provider Business Practice Location Address Details
Address
710 11Th St N
City
State
Zip
59019-7215
Phone Number
406-322-1000
Fax Number
406-322-5207
person
Provider Business Mailing Address Details
Address
710 11Th St N
City
State
Zip
59019-7215
Phone Number
406-322-1000
Fax Number
406-322-5207
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
35802 (Montana)
Definition
Definition to come...
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