MARK R GARDNER

EAST CHICAGO, IN
NPI1114055787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: IN  01059461A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036068695)
207R00000X Internal Medicine
(Licence: IN  01059461A)
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: IL  036068695)
Enumeration Date2007-03-02
Last Update Date2017-10-13
Business Address
MARK R GARDNER M.D.
4321 FIR ST STE 313
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7424
Mailing Address
MARK R GARDNER M.D.
4321 FIR ST STE 313 ST CATHERINE OCC HLTH
EAST CHICAGO, IN 46312-3049
Phone number: 219-392-7424