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Individual

GUY J GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6181 WITHERBEE DR SE, ADA, MI 49301-7810
(616) 676-3207
Mailing address
6181 WITHERBEE DR SE, ADA, MI 49301-7810
(616) 676-3207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006361
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4282767
MI
05
4714263
MI
Enumeration date
04/13/2006
Last updated
02/19/2008
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