Individual
DR. PATRICK MICHAEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 PLEASANT VALLEY RD, DEPARTMENT OF PATHOLOGY, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 334-8484
Mailing address
3200 PLEASANT VALLEY RD, DEPARTMENT OF PATHOLOGY, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 334-8484
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35568-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912974858
—
WI
05
—
32421900
—
WA
Enumeration date
02/28/2006
Last updated
06/11/2012
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