Individual
JEAN C MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5409 VERN HOLMES DR, STEVENS POINT, WI 54482-8853
(715) 344-1600
Mailing address
3000 WESTHILL DR, SUITE 303, WAUSAU, WI 54401-3795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41169
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32606800
—
WI
Enumeration date
10/31/2006
Last updated
03/07/2023
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