Individual
MR. MICHAEL A GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W INDIANA ST, EVANSVILLE, IN 47712-5637
(812) 428-0698
(812) 429-9655
Mailing address
5037 LAKESIDE CT, EVANSVILLE, IN 47712-6571
(812) 422-2493
(812) 429-9655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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