Individual
DR. JOSEPH ANTHONY MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1755 DIX HWY, LINCOLN PARK, MI 48146-1412
(313) 382-9650
(313) 382-3428
Mailing address
47303 DOVE CT, SHELBY TOWNSHIP, MI 48315-4835
(313) 382-9650
(313) 382-3428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941785388
—
MI
Enumeration date
06/12/2006
Last updated
08/29/2011
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