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Contact Information

MICHELLE A GARDNER, OD
808 WACKER DR
DUBUQUE, IA52002
 Phone: 563-557-1133
 Fax: 563-557-3022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI # 1639383599
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 02281
  • IA Medicaid 0425991
  • Other 36582 BLUE CROSS BLUE SHIELD
  • Other 819247 EYEMED
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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