Individual
KRISTOFER MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1018148
MA
207P00000X
Emergency Medicine Physician
Primary
4301513738
MI
207P00000X
Emergency Medicine Physician
D97424
MD
Other
Enumeration date
03/30/2020
Last updated
04/15/2025
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