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Individual
DR. WARREN RUSSELL GARR
Active
Individual
DR. WARREN RUSSELL GARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WG041063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101829
PREFERRED CHOICES
MI
05
—
1870442
—
MI
01
—
4040845
AETNA
MI
01
—
700D76226
BLUE SHIELD
MI
01
—
B47094
HAP
MI
01
—
B6280
MCARE
MI
01
—
P51903
BLUE CARE NETWORK
MI
Enumeration date
07/25/2006
Last updated
05/18/2010
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