Individual
ANGELA MEG MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 892-4322
Mailing address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 892-4322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8230-33
WI
Other
Enumeration date
02/09/2018
Last updated
03/17/2018
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