Individual
ANA TERESA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
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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