Individual
MONTIDA VEERAVIGROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036151888
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301090189
MI
Other
Enumeration date
01/18/2008
Last updated
09/09/2024
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