Organization
MIDWEST ALLERGY & SINUS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GILLUM MD (MD)
(765) 651-4278
Entity
Organization
Contact information
Practice address
330 N WABASH AVE, SUITE 210, MARION, IN 46952-2600
(765) 651-4248
Mailing address
PO BOX 2063, INDIANAPOLIS, IN 46206-2063
(317) 770-0055
(317) 770-0066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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