Individual
DR. JEROD ROBERT GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 S MAPLE ST, GRANT, MI 49327-9006
(231) 834-5995
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151013975
MI
Other
Enumeration date
06/06/2019
Last updated
12/30/2024
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