Individual
WILLIAM J. GARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
39040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000009
MEDICA CHOICE
MN
01
—
1000010
MEDICA PRIMARY
MN
01
—
1012225
PREFERREDONE
MN
01
—
115458
UCARE
MN
01
—
236167
AMERICA'S PPO
MN
01
—
32313100
MEDICAID - WISCONSIN
WI
01
—
32Y69GA
BLUE SHIELD
MN
05
—
432717900
—
MN
Enumeration date
08/11/2005
Last updated
05/22/2013
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