Individual
SUSAN E MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5937 S HILL DR, MADISON, WI 53705-4463
(000) 000-0000
Mailing address
5937 S HILL DR, MADISON, WI 53705-4463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35686-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32245300
—
WI
Enumeration date
06/16/2006
Last updated
10/11/2023
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