Individual
GLENDON M. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7211
(248) 661-6456
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7211
(248) 661-6456
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
063874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307008110
—
MI
01
—
700H262260
BLUE CROSS-BLUE CROSS
—
01
—
GG063874
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
03/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us