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Gillum Facial Plastic Surgery, Pc
Specialist in Marion, Indiana
NPI 1063563617

Gillum Facial Plastic Surgery, Pc is a Specialist based in Indianapolis, IN. Gillum Facial Plastic Surgery, Pc practices in Marion, IN. The NPI Number for Gillum Facial Plastic Surgery, Pc is 1063563617 and holds a License No. 0155912A (Indiana).

The current practice location address for Gillum Facial Plastic Surgery, Pc is 330 N Wabash Ave, Marion, IN and can be reached out via phone at 765-651-4278 and via fax at 765-664-6445.

Location: 330 N Wabash Ave, Marion, IN, 46206-2063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063563617
Provider Name
Gillum Facial Plastic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
330 N Wabash Ave, Marion, IN, 46206-2063
Phone Number
765-651-4278
Fax Number
765-664-6445
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
330 N Wabash Ave
City
Marion
State
Indiana
Zip
46952-2600
Phone Number
765-651-4278
Fax Number
765-664-6445
person
Provider Business Mailing Address Details
Address
330 N Wabash Ave
City
Marion
State
Indiana
Zip
46952-2600
Phone Number
765-651-4278
Fax Number
765-664-6445
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0155912A (Indiana)
Definition
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.
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