Provider Demographics
NPI:1972340446
Name:MIKE DUCHSCHERE, APRN, PLLC
Entity type:Organization
Organization Name:MIKE DUCHSCHERE, APRN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DUCHSCHERE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:406-747-0455
Mailing Address - Street 1:422 W SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4127
Mailing Address - Country:US
Mailing Address - Phone:406-747-0455
Mailing Address - Fax:406-295-0618
Practice Address - Street 1:422 W SPRUCE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4127
Practice Address - Country:US
Practice Address - Phone:406-747-0455
Practice Address - Fax:406-295-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty