Individual
DR. NATHAN C GILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 KENOSHA ST, WALWORTH, WI 53184-9512
(262) 275-2101
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036143429
IL
207Q00000X
Family Medicine Physician
Primary
67683
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070235
—
WI
Enumeration date
06/10/2013
Last updated
11/16/2023
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