Montgomery, Robert R

Montgomery, Robert R is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Children'S Hospital Of Wisconsin, Milwaukee WI 53226-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Montgomery, Robert R can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9000 W Wisconsin Ave Children'S Hospital Of Wisconsin Milwaukee WI 53226-3518
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 23164 Wisconsin

Profile Details

NPI number 1649222381
LBN Legal business name Montgomery, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649222381 NPPES
Wisconsin MEDICAID 30333500

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