Individual
MR. JOE EDWARD MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3570 GUILFORD ST, DETROIT, MI 48224-2240
(313) 720-1787
Mailing address
3570 GUILFORD ST, DETROIT, MI 48224-2240
(313) 720-1787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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