Tara Lyn Montgomery-Johnson, PA-C

NPI #1366490005 in Coldwater, Michigan

Provider Information

NPI Number: 1366490005
Entity Type: Individual
Name: Tara Lyn Montgomery-Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 5, 2006
Last Updated: Nov 2, 2023

Practice Location

Address: 90 N MICHIGAN AVE
City: Coldwater
State: Michigan
ZIP Code: 49036-1527
Phone: (248) 860-4634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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