Individual
PATRICIA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 877-1616
(219) 877-2007
Mailing address
3316 POTOMAC CT, NAPLES, FL 34120-4474
(239) 352-8050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01051974A
IN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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