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Meet the TEAM


Garett R Williams, MD

Victoria Wagenaar
Office Manager

I grew up in Big Timber Montana, attended and graduated from Montana State University with a degree in Microbiology, Bobcats forever! I completed Medical School at the University of Washington in Seattle. I then had the privilege of completing a 3 year residency at Puget Sound Family Medicine Residency at the Naval Hospital Bremerton. While in the Navy, I had the distinct opportunity to care for Sailors (occasional Airmen and Marines) and their families at Keflavik Naval Air Station in Iceland.  After the Navy, I returned to Montana and have practiced in several settings in rural Montana and Billings.  


I cherish my life beyond measure, I wake up every day to a great wife and family that means the world to me.  I have been blessed to call Montana my home for my entire life. We have four beautiful children. In my spare time I enjoy spending time with our new grandson, fishing, growing the vineyard with my wife Victoria & continuing to better PearlMed DPC everyday to better the lives of the patients of the practice. 


My career has spanned over 24 years, I am so blessed by my Creator to have been called to the field of Family Medicine.


Welcome to our family at PearlMed DPC.

I am originally from Rhode Island but fell in love with Montana right out of high school. I attended Montana State University and knew I would be back eventually, though it took a few years.  I completed Medical School at Medical College of Virginia and then finished his 3 year residency at the University of Utah.  After working for 5 years in a multispecialty clinic, our family moved back to Montana and have lived in Billings, the home of his wife, since 2014. Prior to now I have been working in one of Billings’ larger hospital systems. 


During the 9 years here in Billings, I had great patient experiences.  I was excited to be able to deliver better, more patient focused care in a far more accessible manner. I firmly believe that Direct Primary Care is the means to deliver that.

I am married with 2 wonderful children and a rambunctious dog.  I enjoy spending time outdoors under the Big Sky rafting, fishing, hiking, skiing and golfing in my down time.

I love what I do and I’m excited to find a better way to provide quality and meaningful care.

Embarking on an extraordinary journey with my husband of 32 years, I now collaborate with him at PearlMed DPC as both Office Manager and Co-Founder. The past 23 years have been devoted to homemaking and nurturing our four wonderful children.

Our family narrative revolves around a profound connection to nature, as we've raised a diverse array of animals, including chickens, sheep, goats, rabbits, and a steer. Active involvement in our Church, a 4-H club, and various Christian organizations underscores our deep commitment to community.

PearlMed DPC represents the fulfillment of a longstanding dream—a healthcare model that aligns with our dedication to healthy living and the restoration of family medicine to accessible and affordable doctor/patient care. This exciting new chapter unfolds with eager anticipation and resonates with our aspirations.

Beyond my professional responsibilities, my interests encompass family-centric activities, photography, and the art of wine-making, which includes caring for our vineyard. Life's intricate tapestry seamlessly weaves together my commitment to family, community, and a healthier well-being.

Cheers to the growth, fulfillment, and realization of dreams in this exhilarating chapter of life!

Robert S Wagenaar, MD

What Patients Say

"PearlMed DPC was one of the best decisions I have ever made for my family of 4. It’s like having a Doctor that’s apart of your family. We live at least 50 miles away from the nearest ER/hospital. We are raising two little boys on a ranch. We have already had our fair share of ER visits. I am able to contact Dr. Wagenaar at anytime & he is able to help. There aren't wait times, if we need to be seen they get us in and are very welcoming & understanding. I haven't had a Doctor read my lab reports back to me in years, I was very surprised to receive a very detailed report from Dr. Wagenaar explaining my Lab Results. My husband & I have ran the numbers & its unbelievable what Direct Primary Care  can do for family’s, communities & individuals. We are beyond blessed with PearlMed DPC & their staff".      by M.S. from Melstone Montana

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