Individual
MARK A GARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 330, GREEN BAY, WI 54311-6519
(920) 288-8350
(920) 288-8355
Mailing address
2845 GREENBRIER RD STE 330, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-8350
(920) 288-8355
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
32288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104405670
—
MI
05
—
104584884
—
MI
05
—
104806220
—
MI
01
—
140007796
RAILROAD
WI
05
—
34201700
—
WI
Enumeration date
06/28/2006
Last updated
05/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us