Individual
DR. GARRETT MICHAEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
(314) 747-4189
Mailing address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2023006679
MO
2085R0202X
Diagnostic Radiology Physician
Primary
75433
MN
Other
Enumeration date
05/26/2018
Last updated
07/21/2024
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