Individual
DR. RICHARD M. GARDNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2863 COUNTY ROAD 529, LOUDONVILLE, OH 44842-9202
(419) 994-5551
(419) 994-5552
Mailing address
324 HOHUM DR., BRINKHAVEN, OH 43006
(740) 599-6197
(419) 994-5552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
713
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603029
—
OH
Enumeration date
07/01/2005
Last updated
07/08/2007
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