Individual
GARNET AANENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 STATE STREET NW, MCINTOSH, MN 56556-0247
(218) 563-2753
Mailing address
430 STATE STREET NW, MCINTOSH, MN 56556-0247
(218) 563-2753
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
H748001536619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420M7MC
BLUE CROSS/BLUE SHIELD PL
MN
Enumeration date
10/19/2006
Last updated
07/08/2007
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