Kenneth Joe Garrison, MD - Surgery in Shell Lake, WI

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Kenneth Joe Garrison, MD is a Surgery physician based in Shell Lake, Wisconsin. Kenneth Joe Garrison is licensed to practice in Wisconsin (license number 45490) and his current practice location is 105 4th Ave, Shell Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 468-2711.

NPI number for Kenneth Joe Garrison is 1316945512 and his current mailing address is Po Box 189, Shell Lake, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316945512.

Contact Information

Kenneth Joe Garrison, MD
105 4th Ave,
Shell Lake, WI 54871-0189
(715) 468-2711
(715) 468-2727

Map and Direction




Physician's Profile

Full NameKenneth Joe Garrison
GenderMale
SpecialitySurgery
Location105 4th Ave, Shell Lake, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316945512
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Kenneth Joe Garrison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316945512NPI-NPPES
34380700MedicaidWI
266R9GAOtherMNCOMPREHENSIVE CARE SVS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 45490 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Joe Garrison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Joe Garrison, MD
Po Box 189,
Shell Lake, WI 54871-0189

Ph: (715) 468-2711		Kenneth Joe Garrison, MD
105 4th Ave,
Shell Lake, WI 54871-0189

Ph: (715) 468-2711

Reviews and Comments


Surgery Doctors in Shell Lake, WI


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