Individual
DR. LYNN MARIE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10400 W NORTH AVE, SUITE 300, MILWAUKEE, WI 53226-2425
(414) 771-7470
(414) 771-7493
Mailing address
10335 N PORT WASHINGTON RD, SUITE 250, MEQUON, WI 53092-5763
(262) 240-9870
(262) 240-9869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31545-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31869800
—
WI
Enumeration date
07/06/2006
Last updated
11/22/2021
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