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Individual

MICHAEL GARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4022
(506) 773-1941
Mailing address
711 E COLLINS DR, GOLDENDALE, WA 98620-9237
(509) 773-4017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016667
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8278004
WA
Enumeration date
12/20/2006
Last updated
07/08/2007
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