Individual
DR. STEPHEN MICHAEL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
Mailing address
345 N 101ST ST, SEATTLE, WA 98133-9113
(310) 760-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60813210
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2015
Last updated
04/06/2021
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