Individual
DONNA MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 CHOCTAW DR, OWOSSO, MI 48867-9774
(989) 413-0860
Mailing address
7250 CHOCTAW DR, OWOSSO, MI 48867-9774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704166984
MI
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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