Individual
DR. CHARLES L GILLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD.
Contact information
Practice address
1213 HYLTON HEIGHTS RD, SUTIE 105, MANHATTAN, KS 66502-2810
(785) 537-4005
Mailing address
1213 HYLTON HEIGHTS RD, SUTIE 105, MANHATTAN, KS 66502-2810
(785) 537-4005
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
368
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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