Individual
MR. STEVEN JON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
505 HAZEN ST, PAW PAW, MI 49079-1070
(269) 353-6779
Mailing address
4631 PINEFIELD AVE, PORTAGE, MI 49024-3023
(269) 353-6779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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