# JENNY MARIBEL MONTEJO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053358655
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 4301075789 | MI | — |
| 207K00000X | Allergy & Immunology Physician | 66467 | MN | — |
| 207KA0200X | Allergy Physician | 4301075789 | MI | — |
| 208000000X | Pediatrics Physician | 4301075789 | MI | — |
| 208000000X | Pediatrics Physician | 66467 | MN | — |
| 208000000X | Pediatrics Physician | 75082 | WI | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | 66467 | MN | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 01/16/2024