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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA W WONG-GILLAM, M.D.-PH.D.

Active

TINA W WONG-GILLAM, M.D.-PH.D. is a Surgical Oncology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1578940334 is currently active in the NPPES registry. Verify at CMS.

Surgical Oncology · GRAND RAPIDS, MI

Registration Details

NPI Number
1578940334
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2015 (11.316139863416 yrs)
Last Updated
May 9, 2025
Licenses
4301508285 (MI)
4301508285 (MI)

Practice Information

Address
145 MICHIGAN ST NE STE 5500
GRAND RAPIDS, MI, 495032565
Browse MI providers · Browse ZIP 49503
Phone
6162678540
Primary Specialty
Surgical Oncology
2086X0206X
Additional Specialty
Surgical Oncology

Other Surgical Oncology Providers in GRAND RAPIDS, MI

Name Credential NPI
JUDY LYNN SMITH MD 1154302172
MATHEW CHUNG MD 1386685592
MARIANNE K MELNIK MD 1629142658
JILL K ONESTI M.D. 1063674497
MURWARID MURA ASSIFI MD 1548416563
DR. GERALD PAUL WRIGHT JR. M.D. 1700199809
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.