Individual
TRICIA A GILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 738-4600
(920) 738-4792
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65240-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2014
Last updated
07/21/2022
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