Individual
DR. MICHAEL JOHN GARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200254
MEDICA
MN
01
—
120172
UCARE
MN
01
—
30B12GA
BLUE CROSS
MN
01
—
CP9041014230
PREFFERED ONE
MN
Enumeration date
02/03/2006
Last updated
07/09/2007
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