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Individual

DR. KIRSTEN LEE GAARDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1524 MCHENRY AVE, STE 100, MODESTO, CA 95350-4500
(209) 342-5920
Mailing address
1524 MCHENRY AVE, STE 100, MODESTO, CA 95350-4500
(209) 342-5920

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036130181
IL
2085R0202X
Diagnostic Radiology Physician
Primary
C55837
CA

Other

Enumeration date
06/24/2007
Last updated
04/28/2016
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