Provider Demographics
NPI:1780879098
Name:TONNERRE, CLAUDE (MD)
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:
Last Name:TONNERRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W BROADWAY ST
Mailing Address - Street 2:PO BOX 4587
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4008
Mailing Address - Country:US
Mailing Address - Phone:406-327-1841
Mailing Address - Fax:406-327-1834
Practice Address - Street 1:500 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4008
Practice Address - Country:US
Practice Address - Phone:406-327-1841
Practice Address - Fax:406-327-1834
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2022-01-31
Deactivation Date:2022-01-17
Deactivation Code:
Reactivation Date:2022-01-31
Provider Licenses
StateLicense IDTaxonomies
MT11405207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease