Individual
JAMES SAMUEL MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
(218) 365-7975
Mailing address
300 W CONAN ST, ELY, MN 55731-1145
(218) 365-7900
(218) 365-7975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38029
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311726000
—
MN
Enumeration date
07/10/2006
Last updated
02/17/2016
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