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NPI Code Detail

MEDICARE: THOMAS W GARDNER MD

MEDICARE:   THOMAS W GARDNER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianMD031064EPA
2207W00000XOphthalmology Physician4301097516MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528022464
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS W GARDNER MD
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line : 700 KMS PLACE
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-936-2047
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WALL ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-1912
Country : US
Telephone Number : 734-764-4190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 10/15/2010

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Directions to “ THOMAS W GARDNER MD” Practice Location

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