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

JEFFREY GILLUM, MD

Active

Obstetrics & Gynecology · DETROIT, MI

Registration Details

NPI Number
1790773091
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2005 (20.531480632098 yrs)
Last Updated
Feb 1, 2010
License
4301041555 (MI)

Practice Information

Address
4727 SAINT ANTOINE ST
SUITE 210
DETROIT, MI, 482011461
Browse MI providers · Browse ZIP 48201
Phone
3138313066
Fax
3138318438
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in DETROIT, MI

Name Credential NPI
MICHAEL F PRYSAK MD 1275528077
ANNE M SCHNEIDER MD 1083609887
CASSIE LAASCH MD 1427043264
RENITA B BARGE MD 1720075898
THEODORE K GRAHAM MD 1679562292
DR. LISA J MCINTOSH MD 1205827573
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.