Individual
DR. THOMAS KELSEY GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7100 W ISANOGEL RD, MUNCIE, IN 47304-9307
(765) 289-0939
Mailing address
7100 W ISANOGEL RD, MUNCIE, IN 47304-9307
(765) 289-0939
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01025352A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105200A
—
IN
Enumeration date
10/02/2006
Last updated
02/01/2016
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