Individual
STEWART CHARLES GARNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4362 7TH ST, MOLINE, IL 61265-6867
(309) 277-2900
(309) 277-0090
Mailing address
4362 7TH ST, MOLINE, IL 61265-6867
(309) 277-2900
(309) 277-0090
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036055117
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055117
—
IL
01
—
08108636
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
05
—
1932632
—
IA
01
—
364155168
AETNA
IL
01
—
83004502
RAILROAD MEDICARE
IL
01
—
92618
BLUE CROOS BLUE SHIELD OF IOWA
IA
Enumeration date
08/30/2005
Last updated
10/28/2008
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