Gardner, Tressa K
Gardner, Tressa K is an individual health care provider with primary practice located at 50 N Perry St , Pontiac MI 48342-2217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Gardner, Tressa K can be contacted via phone (248) 338-5327.Contact Information
Primary practice address
50 N Perry St
Pontiac MI 48342-2217
Phone: (248) 338-5327
Fax: (248) 338-5129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5101012299 | Michigan |
Profile Details
| NPI number | 1306821756 |
|---|---|
| LBN Legal business name | Gardner, Tressa K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jun 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306821756 | NPPES |
| Michigan | MEDICAID | 4091747 |
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