Individual
ROBERT MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
(715) 246-8980
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14898
MN
363A00000X
Physician Assistant
4811
WI
363AS0400X
Surgical Physician Assistant
Primary
4811-23
WI
Other
Enumeration date
07/18/2019
Last updated
08/25/2025
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