Individual
MICHELE H MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 PLAZA DR, SUITE 1300, WAUSAU, WI 54401-4158
(715) 847-2630
Mailing address
3000 WESTHILL DR, SUITE 303, WAUSAU, WI 54401-3795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32599
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31871800
—
WI
Enumeration date
07/07/2006
Last updated
07/08/2007
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