Provider Demographics
NPI:1497808422
Name:GARNER, HART PHILLIP (MD)
Entity Type:Individual
Prefix:
First Name:HART
Middle Name:PHILLIP
Last Name:GARNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11850 BLACKFOOT ST NW
Mailing Address - Street 2:SUITE 490
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2578
Mailing Address - Country:US
Mailing Address - Phone:763-427-1137
Mailing Address - Fax:763-427-4643
Practice Address - Street 1:11850 BLACKFOOT ST NW
Practice Address - Street 2:SUITE 490
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2578
Practice Address - Country:US
Practice Address - Phone:763-427-1137
Practice Address - Fax:763-427-4643
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2015-07-20
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Provider Licenses
StateLicense IDTaxonomies
MN46452207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery