MICHAEL TAD GARRITSON

SAN DIEGO, CA
NPI1598736449
Entity TypeIndividual
GenderMale
Sole Proprietor ?
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