Provider Demographics
NPI:1699904052
Name:BOHRNSTEDT, GARRETT RYNNING (DO)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:RYNNING
Last Name:BOHRNSTEDT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:119 TRADEWYND DR STE A
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5288
Mailing Address - Country:US
Mailing Address - Phone:434-237-3376
Mailing Address - Fax:434-237-3330
Practice Address - Street 1:119 TRADEWYND DR
Practice Address - Street 2:STE A
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5288
Practice Address - Country:US
Practice Address - Phone:434-237-3376
Practice Address - Fax:434-237-3330
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA102202740207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology