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Individual

DR. TINIKA A MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 451-7891
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 451-7891

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101243122
VA
207RN0300X
Nephrology Physician
054523
CT
207RN0300X
Nephrology Physician
312009
NY
207RN0300X
Nephrology Physician
75296
GA

Other

Enumeration date
12/12/2006
Last updated
08/26/2024
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