Jeffrey Gillum, MD Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Detroit, MI

NPI

1790773091

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

4301041555 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-11

Last updated

2010-02-01