Individual
RENEE LYNN MONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8660
Mailing address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
416-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
416-39
WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
06/10/2010
Last updated
06/10/2010
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