Individual
MR. WILLIAM J GILLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.021338
OH
Other
Enumeration date
07/24/2017
Last updated
09/29/2021
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