Individual
CONRAD GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26400 W 12 MILE RD, STE 60, SOUTHFIELD, MI 48034-1700
(248) 594-6702
(248) 594-6738
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1138
(248) 594-6702
(248) 594-6738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301022841
MI
Other
Enumeration date
06/08/2006
Last updated
07/20/2016
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