Individual
DR. MICHAEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1540 BREEZEPORT WAY STE 100, SUFFOLK, VA 23435-3752
(757) 538-7275
(757) 335-7230
Mailing address
1540 BREEZEPORT WAY STE 100, SUFFOLK, VA 23435-3752
(757) 538-7275
(757) 335-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336299122
—
VA
Enumeration date
01/12/2007
Last updated
03/04/2026
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