Individual
JAMES R GILSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ARNET ST, SUITE 110, YPSILANTI, MI 48198-5753
(734) 483-0404
(734) 481-0844
Mailing address
200 ARNET ST, SUITE 110, YPSILANTI, MI 48198-5753
(734) 483-0404
(734) 481-0844
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301045438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004109376
AETNA
MI
01
—
0208110311
BCBSM
MI
01
—
101875
CARE CHOICE / PREF CHOICE
MI
01
—
11276974
CAQH PROVIDER NUMBER
MI
05
—
1970536
—
MI
01
—
B48642
UPIN
MI
01
—
DC6914
RAILROAD MEDICARE
MI
Enumeration date
03/22/2006
Last updated
02/28/2008
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