Individual
APRIL LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSBS, PA-C
Contact information
Practice address
3632 BUTZ RD, MAUMEE, OH 43537-9691
(419) 376-6940
Mailing address
3632 BUTZ ROAD, MAUMEE, OH 43537
(419) 376-6940
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GAPA24591
PIN
OH
Enumeration date
11/16/2005
Last updated
03/22/2012
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