Provider Demographics
NPI:1942417704
Name:GARCHOW, ANNETTE
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:GARCHOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9608 NOOK RD
Mailing Address - Street 2:APT. 1
Mailing Address - City:CLAY
Mailing Address - State:MI
Mailing Address - Zip Code:48001-4677
Mailing Address - Country:US
Mailing Address - Phone:810-512-4123
Mailing Address - Fax:
Practice Address - Street 1:3051 COMMERCE DR
Practice Address - Street 2:STE. 5
Practice Address - City:FORT GRATIOT
Practice Address - State:MI
Practice Address - Zip Code:48059-3866
Practice Address - Country:US
Practice Address - Phone:810-385-4463
Practice Address - Fax:810-385-8875
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care