Individual
GERALD L MONTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SMITH AVE N STE 4640, SAINT PAUL, MN 55102-2344
(651) 241-1001
(651) 241-1116
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37757
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280822600
—
MN
Enumeration date
02/02/2007
Last updated
12/08/2020
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