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Individual

ANA TERESA MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084956
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301084956
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490383210
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
AM084956
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
07/12/2006
Last updated
03/09/2012
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