Gardner, Patrick Michael

Gardner, Patrick Michael is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd Department Of Pathology, West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gardner, Patrick Michael can be contacted via phone (262) 836-7300.

Contact Information

Primary practice address
3200 Pleasant Valley Rd Department Of Pathology West Bend WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 334-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35568-020 Wisconsin

Profile Details

NPI number 1912974858
LBN Legal business name Gardner, Patrick Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912974858 NPPES
Washington MEDICAID 32421900
Washington MEDICAID 1912974858

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