Individual
MICHAEL P GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34008378
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2528429
—
OH
Enumeration date
07/03/2006
Last updated
08/19/2020
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