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Individual

DR. GARRICK R. CVITKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 MICHIGAN AVE, GRAYLING, MI 49738-7038
(989) 348-0880
(989) 348-0881
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-1040

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301075768
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4872182
MI
Enumeration date
06/20/2006
Last updated
11/23/2020
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