Individual
MONIQUE MARIA MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FRANCE AVE S STE 450, EDINA, MN 55435-2122
(612) 626-6688
Mailing address
6545 FRANCE AVE S STE 450, EDINA, MN 55435-2122
(612) 626-6688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125072015
IL
2084N0400X
Neurology Physician
Primary
65894
MN
Other
Enumeration date
03/25/2018
Last updated
01/15/2024
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