Mark R Gardner, M.D. Valid NPI

Individual provider · Occupational Medicine Physician · East Chicago, IN

NPI

1114055787

Type

Individual (Type 1)

Primary specialty

Occupational Medicine Physician (Preventive Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2083X0100X

License number

01059461A (IN)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-02

Last updated

2017-10-13