Individual
GARRETT WESTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 907-7000
(920) 907-7021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81542-20
WI
207Q00000X
Family Medicine Physician
94-10315
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240208
—
WI
Enumeration date
06/04/2020
Last updated
09/05/2023
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