Michelle A Gardner

NPI #1891073102 in Peoria, Illinois

Provider Information

NPI Number
1891073102
Entity Type
Individual
Name
Michelle A Gardner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Aug 3, 2011
Last Updated
Sep 2, 2021

Practice Location

Address
8600 STATE ROUTE 91 STE 400
City
Peoria
ZIP Code
61615-7842
Phone
(309) 683-4300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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