Individual
GARATH ALAN MAENPAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6050 W HIGHWAY 74, INDIAN TRAIL, NC 28079-3591
(704) 863-4878
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014-02384
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
2014-02384
NC
Other
Enumeration date
07/10/2006
Last updated
07/15/2024
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