Individual
MR. MICHAEL JOSEPH GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
21425 SPRING STREET, UNION GROVE VA CLINIC, UNION GROVE, WI 53182
(262) 878-7020
Mailing address
21425 SPRING STREET, UNION GROVE VA CLINIC, UNION GROVE, WI 53182
(262) 878-7020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3313-57
WI
Other
Enumeration date
10/21/2015
Last updated
11/15/2023
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