Jeremy Gardner MD is an orthopedic with a current address of 4440 S Washington St – Altru Professional Center Grand Forks ND 5-8201. The NPI is 1881886497, and the license number is 11630 (ND). It was issued on 08/16/2007. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 12/23/2020.
Jeremy Gardner MD can be reached by phone at 7017327700, by mail at 2401 Demers Ave Grand Forks ND 5-8201, or by fax at 7017801942.
Name: Jeremy Gardner MD
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: No
Gender: Male
Practice Location Address:
4440 S Washington St – Altru Professional Center
Grand Forks
ND 5-8201
Telephone Number: 7017327700
Fax Number: 7017801942
Mailing Address:
2401 Demers Ave
Grand Forks
ND 5-8201
Telephone Number: 7017801891
Fax Number: 7017801942
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1881886497
Enumeration Date: 08/16/2007
Last Update: 12/23/2020
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 11630
License State: ND
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Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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