Individual
MICHAEL JAMES GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C139207
CA
207XX0801X
Orthopaedic Trauma Physician
2008002410
MO
207XX0801X
Orthopaedic Trauma Physician
Primary
C139207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18647927
—
IL
Enumeration date
04/12/2007
Last updated
04/27/2024
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