Kenneth J Garrison, MD, SC
Kenneth J Garrison, MD, SC is a Surgery Physician in Shell Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
105 4th AveShell Lake, WI 54871-0189
Phone: (715) 468-2711
Fax: (715) 468-2727
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 45490 (WI) |
|---|
Record details
| NPI number | 1588737456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Garrison — President · (715) 822-3654 |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | P O Box 189, 105 4th Ave, Shell Lake, WI 54871-0189 |
Other providers in Shell Lake
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Kenneth Joe Garrison, MD
105 4th Ave, Shell Lake, WI 54871-0189 · (715) 468-2711