Individual
THOMAS W GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301097516
MI
207W00000X
Ophthalmology Physician
MD031064E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009703720001
—
PA
Enumeration date
04/17/2006
Last updated
10/15/2010
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