Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ROXANNE GILLAM, DO
ActiveMARY ROXANNE GILLAM, DO is a Pediatric Emergency Medicine healthcare provider located in ROYAL OAK, Michigan. NPI 1578143608 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · ROYAL OAK, MI
Registration Details
- NPI Number
- 1578143608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2021 (5.3622773125703 yrs)
- Last Updated
- Jan 28, 2025
- License
-
5101027958 (MI)
Practice Information
- Address
-
3601 W 13 MILE RDROYAL OAK, MI, 480736712Browse MI providers · Browse ZIP 48073
- Phone
- 2488980727
- Primary Specialty
-
Pediatric Emergency Medicine
207PP0204X
- Additional Specialty
- Pediatric Emergency Medicine
Other Pediatric Emergency Medicine Providers in ROYAL OAK, MI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW DENENBERG | MD | 1396759965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.