Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Montville, MD

Individual provider Pediatrics Physician · NPI 1962999862

Autumn Montville, MD is a Pediatrics Physician in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

345 Smith Ave N
Saint Paul, MN 55102-2346
Phone: (612) 813-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 66038 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 29302 (MN)

Record details

NPI number1962999862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

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