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Individual
GARRETT NICHOLAS UNGERER
Active
Individual
GARRETT NICHOLAS UNGERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01099578A
IN
208800000X
Urology Physician
30665
MN
208800000X
Urology Physician
69687
MN
208800000X
Urology Physician
85915-20
WI
363AM0700X
Medical Physician Assistant
2012005136
MO
363AS0400X
Surgical Physician Assistant
2012005136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300133019
—
IN
Enumeration date
03/29/2012
Last updated
08/14/2026
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