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Individual

DR. MARK ANTHONY GARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210
Mailing address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
(651) 290-9210

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4384
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
403L6GA
MN BLUE CROSS BLUE SHIELD
MN
05
968165500
MN
Enumeration date
05/01/2007
Last updated
02/02/2013
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