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Timothy G Gillum, MD
Specialist in Marion, Indiana
NPI 1316994791

Timothy G Gillum is a Specialist based in Marion, IN. Timothy G Gillum practices in Marion, IN and has the professional credentials of MD. The NPI Number for Timothy G Gillum is 1316994791 and holds a License No. 01055912A (Indiana).

The current practice location address for Timothy G Gillum is 801 W Gardner Dr, Marion, IN and can be reached out via phone at 765-651-4278 and via fax at 765-664-6445.

Location: 801 W Gardner Dr, Marion, IN, 46952-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316994791
Provider Name
Timothy G Gillum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 W Gardner Dr, Marion, IN, 46952-1819
Phone Number
765-651-4278
Fax Number
765-664-6445
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200434290A 05 IN
institution
Provider Business Practice Location Address Details
Address
801 W Gardner Dr
City
Marion
State
Indiana
Zip
46952-1819
Phone Number
765-651-4278
Fax Number
765-664-6445
person
Provider Business Mailing Address Details
Address
801 W Gardner Dr
City
Marion
State
Indiana
Zip
46952-1819
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.
01055912A (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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