SHANON DAVID MONTGOMERY

IRON MOUNTAIN, MI
NPI1710347901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704217286)
Enumeration Date2016-03-01
Last Update Date2020-02-14
Business Address
SHANON DAVID MONTGOMERY NP
440 WOODWARD AVE
IRON MOUNTAIN, MI 49801-4631
Phone number: 906-776-9040
Mailing Address
SHANON DAVID MONTGOMERY NP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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