Organization · Type 2 NPI

Gillum Facial Plastic Surgery, PC

Specialist · Marion, IN

NPI number 1063563617 Active

Practice location

330 N Wabash Ave, Ste 210
Marion, IN 46952-2600

Call (765) 651-4278 Map

Fax (765) 664-6445

Mailing address

PO Box 2063
Indianapolis, IN 46206-2063

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0155912A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

20 other providers at this address

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About NPI 1063563617

Gillum Facial Plastic Surgery, PC's National Provider Identifier is 1063563617, issued on Jan 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marion, IN. The record was last updated on Aug 22, 2020.