Individual
MS. JEAN M. GILOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8700 W WATERTOWN PLANK RD, DEPARTMENT OF PLASTIC SURGERY, MILWAUKEE, WI 53226-3595
(414) 805-5440
(414) 259-0901
Mailing address
8700 W WATERTOWN PLANK RD, DEPARTMENT OF PLASTIC SURGERY, MILWAUKEE, WI 53226-3595
(414) 805-5440
(414) 259-0901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
340
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285656173
—
WI
Enumeration date
07/23/2006
Last updated
10/25/2012
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