Dr Daniel Arthur Gardner, PHD | |
1635 Maple Ln, Ashland, WI 54806-3610 | |
(715) 685-5400 | |
(715) 685-5102 |
Full Name | Dr Daniel Arthur Gardner |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1635 Maple Ln, Ashland, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801904628 | NPI | - | NPPES |
39108800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1780-057 (Wisconsin) | Primary |
Entity Name | Memorial Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
Entity Name | Upland Hills Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Arthur Gardner, PHD 1635 Maple Ln, Ashland, WI 54806-3610 Ph: (715) 685-5400 | Dr Daniel Arthur Gardner, PHD 1635 Maple Ln, Ashland, WI 54806-3610 Ph: (715) 685-5400 |
Dr. Carole Kjellander, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 214 12th Ave E, Ashland, WI 54806 Phone: 715-685-9614 Fax: 715-682-4821 | |
Karlin S Marks, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 1635 Maple Ln, Ashland, WI 54806 Phone: 715-685-5400 Fax: 715-685-5102 |