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Individual
GARIK T MISENAR
Active
Individual
GARIK T MISENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101242546
VA
207P00000X
Emergency Medicine Physician
Primary
MD39742
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619084639
—
VA
05
—
3332120
—
TN
01
—
P00224900
RR MEDICARE
—
Enumeration date
08/24/2006
Last updated
08/07/2020
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