Autumn Montville
MD | Pediatrics | Female
Autumn Montville, MD is a Saint Paul, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics. Autumn Montville is also known as
Autumn Tani-winegarden.
Current practice location of Autumn Montville is
345 Smith Ave N, Saint Paul, Minnesota - 55102-2346. She can be contacted on phone at
612-813-6000.
Autumn Montville is a sole proprietor of her business.
NPI number (Unique professional ID) for Autumn Montville is
1962999862 which was assigned by NPPES on 16 Apr, 2018 and it was last updated on 10 Nov, 2022.
Autumn Montville license number is
66038 for Pediatrics (208000000X) in Minnesota.
Autumn Montville is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Autumn Montville basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Autumn Montville |
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| Other Name : | Autumn Tani-winegarden |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Autumn Montville address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 345 Smith Ave N
Saint Paul, MN, 55102-2346
United States |
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| Phone Number : | 612-813-6000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1962999862 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Apr, 2018 |
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| Last Updated On : | 10 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Autumn Montville are as mentioned. Primary taxonomy code for Autumn Montville, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 29302 | MN |
| 208000000X | Pediatrics | Yes | 66038 | MN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 345 Smith Ave N
Saint Paul, MN, 55102-2346
United States |
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| Phone Number : | 612-813-6000 |
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Business Location:
Patients can refer following map for directions to
Autumn Montville practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.