Garrett Michael Theisen

NPI #1790449668 in Great Falls, Montana

Provider Information

NPI Number: 1790449668
Entity Type: Individual
Name: Garrett Michael Theisen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Enumeration Date: Oct 27, 2021
Last Updated: Oct 27, 2021

Practice Location

Address: 7300 N PERIMETER RD
City: Great Falls
State: Montana
ZIP Code: 59402-6701
Phone: (406) 731-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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