MICHAEL TAD GARRITSON

SAN DIEGO, CA
NPI1598736449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-01-30
Last Update Date2007-07-08
Business Address
Mr. MICHAEL TAD GARRITSON IDC
2446 TRIDENT WAY MEDICAL CLINIC
SAN DIEGO, CA 92155-5494
Phone number: 619-437-0777
Mailing Address
Mr. MICHAEL TAD GARRITSON IDC
5151 ROBINWOOD RD APT. 8
BONITA, CA 91902
Phone number: 619-992-6997
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