Individual
MR. CHARLES JOSEPH GARDNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
304 W SPRING MEADOWS LN, DEWITT, MI 48820-8700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704272333
MI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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