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

Zack Allen Montgomery

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700469715

Zack Allen Montgomery is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Detroit, MI

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 540 E Canfield St, Detroit, MI 48201-1928 — (313) 577-1463

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4351050165 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700469715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

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