Individual
STEPHANIE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5303 S CEDAR ST STE 205, LANSING, MI 48911-3800
(517) 887-4305
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5151013625
MI
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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