Individual
NECITO L MONTANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3883 74TH AVENUE NE, FORT TOTTEN, ND 58335
(701) 766-1600
(701) 766-1645
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1600
(701) 766-1645
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4053
ND
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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