Individual
KATIE ELLEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2799 WEST GRAND BLVD, ATTENTION:L K17, PULMONARY AND CRITICAL CARE MEDICINE, DETROIT, MI 48202
(313) 916-2600
(313) 916-9102
Mailing address
2799 WEST GRAND BLVD, ATTENTION:L K17, PULMONARY AND CRITICAL CARE MEDICINE, DETROIT, MI 48202
(313) 916-2600
(313) 916-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021533
MI
Other
Enumeration date
06/29/2015
Last updated
02/19/2019
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