Individual
MICHAEL K. GAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
(801) 441-1002
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
344862-1205
UT
207P00000X
Emergency Medicine Physician
97-55
NM
207Q00000X
Family Medicine Physician
14379
NH
207Q00000X
Family Medicine Physician
Primary
97-55
NM
208D00000X
General Practice Physician
14379
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001047001
MEDICARE B
NH
05
—
10162580
—
VT
01
—
1932187044
GROUP NPI
NM
05
—
30208587
—
NH
01
—
800521089
MEDICARE GROUP
NM
01
—
Z2565
MEDICAID GROUP
NM
Enumeration date
07/11/2006
Last updated
05/14/2020
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