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Individual

MICHAEL JAMES GARITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(377) 721-7236
(337) 721-7237
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(377) 721-7236

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26572
MS
207X00000X
Orthopaedic Surgery Physician
LL36939
SC
207X00000X
Orthopaedic Surgery Physician
Primary
MD.323773
LA

Other

Enumeration date
06/03/2014
Last updated
08/17/2020
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