Provider Demographics
NPI:1568561413
Name:LEFEVER, MICHAEL E (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:LEFEVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W PLATINUM ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2200
Mailing Address - Country:US
Mailing Address - Phone:406-723-1285
Mailing Address - Fax:406-723-1288
Practice Address - Street 1:3251 NETTIE ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6531
Practice Address - Country:US
Practice Address - Phone:406-560-6679
Practice Address - Fax:406-723-1288
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT40989207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F84871Medicare UPIN
MT0019344Medicaid