Individual
DR. MICHAEL MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3765 E. BLUE LUPINE DR. STE D, WASILLA, AK 99654
(907) 707-1671
(907) 707-1675
Mailing address
3765 E. BLUE LUPINE DR. SUITE D, WASILLA, AK 99654
(907) 707-1671
(860) 266-6826
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
102887
AK
207X00000X
Orthopaedic Surgery Physician
240783
MA
207X00000X
Orthopaedic Surgery Physician
DR0053992
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1635141
—
AK
Enumeration date
05/26/2009
Last updated
07/22/2022
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