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Dr. Benjamin David Gillis, DC
Chiropractor in Wyoming, Michigan
NPI 1356567358

Benjamin David Gillis is a Chiropractor based in Wyoming, MI. Benjamin David Gillis practices in Wyoming, MI and has the professional credentials of DC. The NPI Number for Benjamin David Gillis is 1356567358 and holds a License No. 2301008777 (Michigan).

The current practice location address for Benjamin David Gillis is 5675 Burlingame Ave., Wyoming, MI and can be reached out via phone at 616-538-2200 and via fax at 616-301-0419.

Location: 5675 Burlingame Ave., Wyoming, MI, 49509-9702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356567358
Provider Name
Benjamin David Gillis
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5675 Burlingame Ave., Wyoming, MI, 49509-9702
Phone Number
616-538-2200
Fax Number
616-301-0419
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950D113070 01 MI BLUE CROSS BLUE SHIELD
ON84880 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5675 Burlingame Ave.
City
Wyoming
State
Michigan
Zip
49509-9702
Phone Number
616-538-2200
Fax Number
616-301-0419
person
Provider Business Mailing Address Details
Address
5675 Burlingame Ave.
City
Wyoming
State
Michigan
Zip
49509-9702
Phone Number
616-538-2200
Fax Number
616-301-0419
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301008777 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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