Individual
ERIN MICHELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N MADISON AVE, GREENWOOD, IN 46142-4135
(317) 528-7500
(317) 528-7515
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003900A
IN
Other
Enumeration date
05/10/2021
Last updated
05/05/2023
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