NPI 1366470544

Mark a Gardon, MD

Practitioner Neurological Surgery Physician Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd STE 330, Green Bay, WI 54311-6519
Phone: (920) 288-8350
Fax: (920) 288-8355
Mailing address: 2845 Greenbrier Rd STE 330 PO Box 8900, Green Bay, WI 54308-8900

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 32288 (WI)

Other Neurological Surgery providers in Wisconsin →

Registry record

NPI: 1366470544
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 10 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.