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Dr. Jeremy D Gilliam, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1538284153

Jeremy D Gilliam is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Jeremy D Gilliam practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Jeremy D Gilliam is 1538284153 and holds a License No. R1044 (Indiana).

The current practice location address for Jeremy D Gilliam is 5001 Us Highway 30 W Ste D, Fort Wayne, IN and can be reached out via phone at 260-432-4969 and via fax at 260-432-4969.

Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN, 46898-0070
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Provider Profile Details
NPI Number
1538284153
Provider Name
Jeremy D Gilliam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5001 Us Highway 30 W Ste D, Fort Wayne, IN, 46898-0070
Phone Number
260-432-4969
Fax Number
260-432-4969
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538284153 05 MI
200939030 05 IN
2840742 05 OH
institution
Provider Business Practice Location Address Details
Address
5001 Us Highway 30 W Ste D
City
State
Zip
46818-9701
Phone Number
260-432-4969
Fax Number
260-432-4969
person
Provider Business Mailing Address Details
Address
5001 Us Highway 30 W Ste D
City
State
Zip
46818-9701
Phone Number
260-432-4969
Fax Number
260-432-4969
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
R1044 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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