Individual
DR. JOHN MICHAEL GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 CARPENTER AVENUE, IRON MOUNTAIN, MI 49801-4728
(906) 774-1404
(906) 774-8132
Mailing address
1301 CARPENTER AVENUE, IRON MOUNTAIN, MI 49801-4728
(906) 774-1404
(906) 774-8132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040476
MI
174400000X
Specialist
28873-20
WI
207W00000X
Ophthalmology Physician
040476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366282
—
MI
01
—
1802210720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/31/2005
Last updated
01/28/2019
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