Individual
JULIA VLADIMIRONVA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 656-7020
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 656-7020
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
42703
MN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
42703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
607600900
—
MN
Enumeration date
08/21/2006
Last updated
03/28/2023
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