Individual
MICHELLE THERESE GILLIATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 RIVER CROSSING BLVD STE A, INDIANAPOLIS, IN 46240-3985
(317) 455-8540
(317) 455-8548
Mailing address
7535 EDGEWATER DR, INDIANAPOLIS, IN 46240-3064
(317) 379-4465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080629A
IN
207QB0002X
Obesity Medicine (Family Medicine) Physician
01080629A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70031767
AMERICAN BOARD OF OBESITY MEDICINE ID
—
Enumeration date
04/18/2016
Last updated
07/29/2025
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