Garnaas, Mark T

Garnaas, Mark T is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Cardiothoracic Surgery, Milwaukee WI 53226-3522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Garnaas, Mark T can be contacted via phone (414) 955-6900.

Contact Information

Primary practice address
9200 W Wisconsin Ave Cardiothoracic Surgery Milwaukee WI 53226-3522
Phone: (414) 955-6900
Fax: (414) 955-6204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 40 Wisconsin

Profile Details

NPI number 1134116890
LBN Legal business name Garnaas, Mark T
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jan 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134116890 NPPES
Wisconsin MEDICAID 1134116890
Wisconsin MEDICAID 42902800

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