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Contact Information

MICHELLE T GARDNER, MD
1001 SAM PERRY BLVD
FREDERICKSBURG, VA22401
 Phone: 540-741-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHELLE T GARDNER · (Female)

NPI Number 1831450469
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2012
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-14177
  • VA License # 0101257904
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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