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Individual

CARLEY GARDINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 916-2518
Mailing address
1355 BOGUE ST, EAST LANSING, MI 48824-6207

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704341762
MI
363LF0000X
Family Nurse Practitioner
Primary
4704341762
MI

Other

Enumeration date
05/19/2023
Last updated
11/26/2025
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