Organization
DEGARA GARDEN CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRESSA GARDNER DO (ECO)
(248) 338-5339
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, EMERGENCY DEPARTMENT, GARDEN CITY, MI 48135-4001
(734) 458-3426
Mailing address
BOX 777307 7307 SOLUTION CENTER, CHICAGO, IL 60677-0001
(866) 898-7139
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MI
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
MI
Other
Enumeration date
07/17/2012
Last updated
10/04/2012
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