Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy Joseph Montag, PA-C

Individual provider Physician Assistant · NPI 1649348426

Mr. Timothy Joseph Montag, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2012, 14 years ago. Practices with Glacial Ridge Hospital District, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9645 Grove Cir N Ste 200
Maple Grove, MN 55369-4466
Phone: (763) 201-8191
Fax: (763) 201-8192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 166 19th St S, Sartell, MN 56377-4654 — (320) 230-7788

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1735 (MN)

Record details

NPI number1649348426
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESApril 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Glacial Ridge Hospital District — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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