Individual
GARRY A MISLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Mailing address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38266
MN
207Q00000X
Family Medicine Physician
Primary
7247
ND
Other
Enumeration date
07/22/2006
Last updated
11/30/2011
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