Individual
DR. DAVID M MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30575 WOODWARD AVE, ROYAL OAK, MI 48073-0980
(248) 280-8550
(248) 280-8567
Mailing address
30575 WOODWARD AVE, ROYAL OAK, MI 48073-0980
(248) 280-8550
(248) 280-8567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301047332
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
4301047332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4459527
—
MI
Enumeration date
06/13/2005
Last updated
04/10/2017
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