Individual
DR. GAVIN DAVID GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
Mailing address
19599 CHURCH RD, MIDDLE POINT, OH 45863-9618
(419) 605-6283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-05344
OH
Other
Enumeration date
04/01/2024
Last updated
04/10/2024
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