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Individual

DR. MICHAEL GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637
Mailing address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0071185
MD
208C00000X
Colon & Rectal Surgery Physician
D71185
MD
208C00000X
Colon & Rectal Surgery Physician
MD430441
PA

Other

Enumeration date
05/14/2007
Last updated
12/21/2016
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