Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE SUPRENANT, M.D.
Active Sole ProprietorDR. STEPHANIE SUPRENANT, M.D. is a Plastic Surgery healthcare provider located in MISSOULA, Montana. NPI 1508122938 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · MISSOULA, MT
Registration Details
- NPI Number
- 1508122938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2012 (14.319311398094 yrs)
- Last Updated
- Sep 6, 2023
- Licenses
-
62485 (WI)70012 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 W BROADWAY ST FL 5MISSOULA, MT, 598024008Browse MT providers · Browse ZIP 59802
- Phone
- 4063701600
- Fax
- 4063295864
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| JOHN WAYNE HARLAN | MD | 1407807829 |
| BRADLEY KEVIN COOTS | MD | 1972611481 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.