Edwin Montgomery
MD | Pediatrics | Male
Edwin Montgomery, MD is a Cedarburg, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Edwin Montgomery is
N143w6515 Pioneer Rd, Cedarburg, Wisconsin - 53012-2705. He can be contacted on phone at
262-377-6933.
Edwin Montgomery is a sole proprietor of his business.
NPI number (Unique professional ID) for Edwin Montgomery is
1740388099 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 08 Jul, 2007.
Edwin Montgomery license number is
14382 for Pediatrics (208000000X) in Wisconsin.
Edwin Montgomery 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:
Edwin Montgomery basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Edwin Montgomery |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Edwin Montgomery 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 : | N143w6515 Pioneer Rd
Cedarburg, WI, 53012-2705
United States |
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| Phone Number : | 262-377-6933 |
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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 : | 1740388099 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Edwin Montgomery are as mentioned. Primary taxonomy code for Edwin Montgomery, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 14382 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Edwin Montgomery such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30964600 | MEDICAID | WI | |
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 : | N143w6515 Pioneer Rd
Cedarburg, WI, 53012-2705
United States |
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| Phone Number : | 262-377-6933 |
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Business Location:
Patients can refer following map for directions to
Edwin Montgomery practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.