Individual
DR. ANTHONY MONTEVIDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
336 VIENNA AVE, NILES, OH 44446-2628
(234) 544-3322
Mailing address
1465 HILLCREST AVE APT 40, NILES, OH 44446-3758
(234) 806-6787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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