Provider Demographics
NPI:1821382151
Name:HOYNE, MARISA SCHOTTELKORB (MD)
Entity type:Individual
Prefix:DR
First Name:MARISA
Middle Name:SCHOTTELKORB
Last Name:HOYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:430 WINDWARD WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2623
Mailing Address - Country:US
Mailing Address - Phone:406-743-3299
Mailing Address - Fax:406-284-5081
Practice Address - Street 1:430 WINDWARD WAY STE 203
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2623
Practice Address - Country:US
Practice Address - Phone:406-743-3299
Practice Address - Fax:406-284-5081
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR72848207R00000X
MT33497207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine