Individual
BRIAN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 WATER ST, OAKLAND, ME 04963-4956
(207) 465-3003
(207) 465-7352
Mailing address
8 WATER ST, OAKLAND, ME 04963-4956
(207) 465-3003
(207) 465-7352
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
1513
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038507
ANTHEM
ME
05
—
154490099
—
ME
01
—
2274735
AETNA
—
01
—
H00479
HARVARD PILGRIM HEALTHCAR
—
01
—
M177120
CIGNA
—
Enumeration date
11/29/2006
Last updated
05/26/2008
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