Individual
DR. GARRETT DANIEL WEGERIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7265 SW 93RD AVE #201, MIAMI, FL 33173-2719
(305) 230-4362
Mailing address
1241 CORDOVA RD, FORT LAUDERDALE, FL 33316
(321) 288-9311
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD2019-0493
NM
208200000X
Plastic Surgery Physician
Primary
ME138062
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2013
Last updated
06/26/2023
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