person
Dr. Alta Rose Gillham, MD
Student in an Organized Health Care Education/Training Program in Brighton, Michigan
NPI 1174214506

Alta Rose Gillham is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Alta Rose Gillham practices in Brighton, MI and has the professional credentials of MD. The NPI Number for Alta Rose Gillham is 1174214506 and holds a License No. 4351050919 (Michigan).

The current practice location address for Alta Rose Gillham is 8001 Challis Rd, Brighton, MI and can be reached out via phone at 734-539-5080.

Location: 8001 Challis Rd, Brighton, MI, 48109
person
Provider Profile Details
NPI Number
1174214506
Provider Name
Alta Rose Gillham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8001 Challis Rd, Brighton, MI, 48109
Phone Number
734-539-5080
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8001 Challis Rd
City
State
Zip
48116-7446
Phone Number
734-539-5080
Fax Number
person
Provider Business Mailing Address Details
Address
8001 Challis Rd
City
State
Zip
48116-7446
Phone Number
734-539-5080
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4351050919 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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