Kenneth J Garrison, Md, Sc

NPI #1588737456 in Shell Lake, Wisconsin

Provider Information

NPI Number: 1588737456
Entity Type: Organization
Organization Name: Kenneth J Garrison, Md, Sc
Primary Specialty: Surgery
Enumeration Date: Nov 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 105 4TH AVE
City: Shell Lake
State: Wisconsin
ZIP Code: 54871-0189
Phone: (715) 468-2711

Authorized Official

Name: KENNETH JOE GARRISON, M D
Title: PRESIDENT
Phone: (715) 822-3654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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