NPI 1790449668

Garrett Michael Theisen

Practitioner Independent Duty Medical Technicians Great Falls, MT

Practice location

Address: 7300 N Perimeter Rd, Great Falls, MT 59402-6701
Phone: (406) 731-4448
Mailing address: 114 76th St N APT 214, Great Falls, MT 59405-7634

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Montana →

Registry record

NPI: 1790449668
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2021
Record last updated: 27 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.