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Contact Information

MARISE K JOHNSON, MD
1280 BURNS WAY
KALISPELL, MT59901-3110
 Phone: 406-755-5266
 Fax: 406-755-0228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MARISE K JOHNSON · (Female)

NPI # 1013958537
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 4632
  • MT Medicaid 0011687
Hospital affiliation(s)
  • KALISPELL REGIONAL MEDICAL CENTER - (Acute Care)
    310 SUNNYVIEW LANE
    KALISPELL, MT 59901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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