Individual
MONTGOMERY O GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4990 W CLARK RD, BUILDING A, SUITE 200, YPSILANTI, MI 48197-1149
(734) 572-7500
(734) 572-7777
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301072342
MI
Other
Enumeration date
06/16/2005
Last updated
09/29/2014
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