Organization
DEGARA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRESSA GARDNER DO (CEO)
(248) 338-5339
Entity
Organization
Contact information
Practice address
50 N PERRY ST, EMERGENCY DEPARTMENT, PONTIAC, MI 48342-2217
(248) 338-5332
Mailing address
5249 RELIABLE PKWY, CHICAGO, IL 60686-0001
(866) 898-7139
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MI
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
MI
Other
Enumeration date
06/25/2009
Last updated
06/23/2011
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