Individual
DR. RONALD DALE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6846 COOLEY LAKE ROAD, WATERFORD, MI 48327-4109
(248) 363-1543
Mailing address
6846 COOLEY LAKE ROAD, WATERFORD, MI 48327-4109
(248) 363-1543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754078
—
MI
01
—
950F35099
BLUE CROSS
MI
Enumeration date
08/31/2006
Last updated
07/15/2010
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