Individual
MICHELE ANN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 W MAPLE AVE, ADRIAN, MI 49221-1392
(517) 266-0199
(517) 266-0196
Mailing address
PO BOX 305, ADRIAN, MI 49221-0305
(517) 266-0199
(517) 266-0196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MG055976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604610281
BCBS
MI
05
—
4530060
—
MI
Enumeration date
06/27/2005
Last updated
04/30/2008
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