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Individual

JOSEPH MONTANARO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 E PARK AVE, OLIVIA, MN 56277-1370
(320) 523-1460
(320) 523-8349
Mailing address
611 E FAIRVIEW AVE, OLIVIA, MN 56277-4213
(320) 523-1460
(320) 523-8349

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35120235
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
9193
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80003141
NH
Enumeration date
09/06/2005
Last updated
11/07/2013
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