Montico, Michael Patrick

Montico, Michael Patrick is an individual health care provider with primary practice located at 1050 Corporate Office Dr Ste 100 , Milford MI 48381-3199. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Montico, Michael Patrick can be contacted via phone (248) 684-6155.

Contact Information

Primary practice address
1050 Corporate Office Dr Ste 100 Milford MI 48381-3199
Phone: (248) 684-6155
Fax: (248) 684-6154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301072084 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301072084 Michigan

Profile Details

NPI number 1346249919
LBN Legal business name Montico, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated May 20th, 2021 - about 3 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 1346249919 NPPES
Michigan MEDICAID 440244410

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