Individual
JEREMY JOHN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201
(701) 732-7700
(701) 780-1942
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11630
ND
Other
Enumeration date
08/16/2007
Last updated
12/23/2020
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