Individual
GARRET TENBARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
4201 SOUTH WASHINGTON STREET, 2649 STUDENT CENTER, MARION, IN 46953
(260) 409-8491
Mailing address
5737 OAK POINTE DR, FORT WAYNE, IN 46845-1848
(260) 409-8491
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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