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Individual

ANDREA L GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12855 N 40 DR, STE 180, SAINT LOUIS, MO 63141-8657
(314) 878-5599
(314) 392-4290
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(866) 630-9882
(920) 682-5810

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2009017535
MO
207N00000X
Dermatology Physician
48976-020
WI
207ND0101X
MOHS-Micrographic Surgery Physician
2009017535
MO

Other

Enumeration date
04/10/2006
Last updated
09/16/2021
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