Individual
KATIE N GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-5301
(734) 936-6666
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004783
MI
363AM0700X
Medical Physician Assistant
5601004783
MI
363AM0700X
Medical Physician Assistant
AP2332
MA
Other
Enumeration date
08/23/2006
Last updated
07/21/2022
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