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Individual

DR. MICHAEL C GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
860 E BROAD ST STE 1, ELYRIA, OH 44035-6542
(440) 323-8515
Mailing address
860 E BROAD ST STE 1, ELYRIA, OH 44035-6542
(440) 323-8515

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.139521
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.139521
OH

Other

Enumeration date
04/24/2012
Last updated
10/06/2023
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