Glendon M. Gardner in West Bloomfield - Otolaryngology

Glendon M. Gardner - NPI 1871669242

Glendon M. Gardner is a Otolaryngology in West Bloomfield, Michigan. Glendon M. Gardner practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Glendon M. Gardner is 1871669242. The last update date is 2021-03-10.

Glendon M. Gardner's current location address is 6777 W Maple Rd, West Bloomfield, Michigan. You can contact this provider via phone number 2486617211 and fax number 2486616456. The mailing address for Glendon M. Gardner is 6777 W Maple Rd, West Bloomfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Glendon M. Gardner
Address 6777 W Maple Rd, West Bloomfield, Michigan
Phone Number 2486617211
Fax Number 2486616456
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871669242
Provider Enumeration Date 2006-11-28
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 6777 W Maple Rd
City West Bloomfield
State Michigan (MI)
Post Code 483223013
Phone Number 2486617211
Fax Number 2486616456

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 63874
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GG063874 CHAMPUS-CHAMPUS
700H262260 BLUE CROSS-BLUE CROSS
307008110 MI --
GG063874 COMMERCIAL-COMMERCIAL NUMBER

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FAQs about Glendon M. Gardner

What is the unique 10-digit identifier code assigned to Glendon M. Gardner by the Centers for Medicare & Medicaid Services?

The Glendon M. Gardner has been issued the NPI (National Provider Identifier) 1871669242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Glendon M. Gardner?

The Glendon M. Gardner is situated at 6777 W Maple Rd, in the city of West Bloomfield, state of MI, with the zip code 483223013.

What is Glendon M. Gardner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Glendon M. Gardner is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.

When did the Glendon M. Gardner receive its 1871669242?

The Glendon M. Gardner was issued its 1871669242 on 2006-11-28, which is the date when the organization was assigned this unique identifier.

When was the information regarding Glendon M. Gardner most recently updated?

The details pertaining to the Glendon M. Gardner, including its address, specialty, and other relevant information, were last refreshed on 2021-03-10.

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