Individual
JUAN JOSE MONTOYA NOVOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 N MAIN ST, ITHACA, MI 48847-1132
(989) 875-4166
(989) 875-5168
Mailing address
114 N MAIN ST, ITHACA, MI 48847-1132
(989) 875-4166
(989) 875-5168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301514500
MI
Other
Enumeration date
07/18/2022
Last updated
09/24/2025
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