Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stillwater Surgical PLLC

Organization Plastic Surgery Physician · NPI 1053019109

Stillwater Surgical PLLC is a Plastic Surgery Physician in Bozeman, Montana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Enterprise Blvd Ste 102
Bozeman, MT 59718-5971
Phone: (406) 577-2346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1053019109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charity Michalson — Manager · (406) 577-2346
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address203 Enterprise Blvd., Suite 202, Bozeman, MT 59718

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