Individual
JOHN L GARRED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 BLAIR ST, WHITING, IA 51063-1007
(712) 455-2431
(712) 455-2698
Mailing address
153 BLAIR ST, WHITING, IA 51063-1007
(712) 455-2431
(712) 455-2698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23466
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010034591
RAILROAD MEDICARE
—
05
—
0208728
—
IA
05
—
42101479900
—
NE
Enumeration date
03/03/2006
Last updated
05/21/2008
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