Individual
GRETCHEN KAY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
(216) 766-6083
Mailing address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
(216) 766-6083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.066633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149226
—
OH
Enumeration date
05/01/2007
Last updated
09/24/2012
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