Individual
DR. GLENN C GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7710 MERCY ROAD, SUITE 305, OMAHA, NE 68124
(402) 393-1338
(402) 393-6924
Mailing address
7710 MERCY ROAD, SUITE 305, OMAHA, NE 68124
(402) 393-1338
(402) 393-6924
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21949
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91175912513
—
NE
Enumeration date
05/08/2006
Last updated
06/11/2009
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