Dana E Gillin OD

NPI 1013914225 - Optometrist - 152W00000X

NPI Details
NPI 1013914225
Gender Male
Enumeration Date 07/01/2005
Last Updated 07/28/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
112 N EVANS ST
SUITE 2
TECUMSEH MI, 49286-1578, US
Phone (517) 424-1010
Fax (517) 592-5048
Business Location
112 N EVANS ST
SUITE 2
TECUMSEH MI, 49286-1578, US
Phone (517) 424-1010
Fax (517) 592-5048
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003791
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According to our database, Dana E Gillin OD NPI is 1013914225, taxonomy code is 152W00000X and license number is 4901003791, license state is located at Michigan. Dana E Gillin OD physically located at 112 N Evans St, Tecumseh MI, 49286-1578. NPI Number Dana E Gillin OD has the Individual type.

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1013914225 NPI number is provided on an as is basis without warranty of any kind. 1013914225 is maintained by the National Plan & Provider Enumeration System. The contents of Dana E Gillin OD are for informational purposes only.