Individual
DR. RYAN DEAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16750 COUNTY ROAD 30, MAPLE GROVE, MN 55311-4523
(763) 416-1863
Mailing address
17654 96TH AVE N, MAPLE GROVE, MN 55311-1288
(612) 270-9529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119426
MN
Other
Enumeration date
11/04/2011
Last updated
03/04/2021
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