Individual
GARRETT MICHAEL MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(860) 694-8200
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(860) 694-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004812
CT
363A00000X
Physician Assistant
51500
CA
Other
Enumeration date
05/07/2014
Last updated
07/20/2020
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