Individual
DR. MICHAEL J. GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4246
(657) 210-4096
(657) 210-4233
Mailing address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4246
(657) 210-4096
(657) 210-4233
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G84341
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
G84341
CA
Other
Enumeration date
05/31/2005
Last updated
10/14/2015
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