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Individual

DR. MICHAEL F. GILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D., BCPS

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-3437
(414) 238-9496
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-3437
(414) 238-9496

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12056-40
WI
282N00000X
General Acute Care Hospital
390200000X
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841434644
NPI
WI
05
520138
WI
Enumeration date
07/27/2011
Last updated
03/01/2024
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