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Individual

DR. MICHAEL OWEN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MPH, MMM

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(210) 358-5909
(918) 619-4216

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
H0372
TX
207VM0101X
Maternal & Fetal Medicine Physician
17735
NV
207VM0101X
Maternal & Fetal Medicine Physician
Primary
H0372
TX

Other

Enumeration date
07/07/2006
Last updated
04/18/2023
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