Individual
DR. MICHAEL KENNETH GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9500 GILMAN DR, MC0736, LA JOLLA, CA 92093-0736
(858) 822-0622
Mailing address
9500 GILMAN DR, MC0736, LA JOLLA, CA 92093-0736
(858) 822-0622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0047320
MD
208D00000X
General Practice Physician
Primary
G69466
CA
Other
Enumeration date
09/27/2006
Last updated
03/07/2012
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